MR. STAN M FILLMORE (NPI# 1780785329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780785329 |
| Entity Type | Individual |
| Full Name | MR. STAN M FILLMORE |
| Credential | LCSW |
| Practice Address |
117 West 200 South Farmington UT 84025-1036 |
| Mailing Address |
Po Box 1036 117 W 200 So Farmington UT 84025-1036 |
| Practice Telephone | 8014514843 |
| Practice Fax Number | 8014512839 |
| Mailing Telephone | 8014514843 |
| Mailing Fax Number | 8014512839 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1100853501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
117 WEST 200 SOUTH |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730251844 | Dybreak Behavioral Healthcare | Counselor | 117 West 200 South, Farmington, UT 84025-1036 | 2006-11-14 |
| 1134202161 | Martha Carol Mattsson | Clinical Nurse Specialist | 117 West 200 South, Daybreak Behavioral Medicine, Farmington, UT 84025-1036 | 2006-10-23 |
| 1124129739 | Julianne Kemp Arbuckle | Psychologist | 117 West 200 South, Farmington, UT 84025-1036 | 2006-09-26 |
| 1346341971 | Geraldine Oka Matsumura | Registered Nurse | 117 West 200 South, Farmington, UT 84025-1036 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041360 | Christine Mullin | Social Worker | 883 Plainville Ave, Farmington, CT 06032-3121 | 2020-10-21 |
| 1831704964 | Cary Rae Millbury | Social Worker | 16 Middle Street, Farmington, ME 04938 | 2020-09-15 |
| 1457979296 | Sarah Howroyd LLC | Social Worker | Sarah Howroyd Lcsw, Suite 313, Farmington, CT 06032-2985 | 2020-07-08 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1558919878 | Pamela L Begay Psychotherapy, LLC | Social Worker | 5101 College Blvd, Farmington, NM 87402-4709 | 2019-08-29 |
| 1750933826 | Anne Christina Di Iorio-fitzpatrick | Social Worker | 33110 Grand River Ave, Farmington, MI 48336-3120 | 2019-07-09 |
| 1780240259 | Karen S. Ferrell, LLC | Social Worker | 114 E Columbia St # B11, Farmington, MO 63640-3103 | 2019-05-10 |
| 1326517061 | Karen Sue Ferrell | Social Worker | 114 E Columbia St Ste B11, Farmington, MO 63640-3103 | 2018-11-23 |
| 1295235596 | Amber Perez | Social Worker | 20 Batterson Park Rd Ste 300, Farmington, CT 06032-4500 | 2018-02-14 |
| 1982128138 | Renee Lachance George | Social Worker | Uconn Health Center Iop 263 Farmington, Farmington, CT 06030-0001 | 2017-07-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
Please comment or provide details below to improve the information on MR. STAN M FILLMORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.