LOOSE CANNON SOCIAL WORK, LLC. (NPI# 1811447725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811447725 |
| Entity Type | Organization |
| Organization Name | LOOSE CANNON SOCIAL WORK, LLC. |
| Practice Address |
2298 E 200 S Saint George UT 84790-1603 |
| Practice Telephone | 8016524437 |
| Mailing Telephone | 8016524437 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |
| Authorized Official Name | MR. BRUCE CRAIG SOLOMON (MANAGER) |
| Authorized Official Telephone | 8016524437 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 8202232-3501 | UT | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609328525 | Loose Cannon Social Work, LLC. | Counselor | 616 S River Rd, #220, St George, UT 84790-2104 | 2016-10-26 |
| Street Address |
2298 E 200 S |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84790-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437631587 | Axum Corporate Health Strategies | Exclusive Provider Organization | 4888 W River Chase Rd, Herriman, UT 84096-3423 | 2018-09-05 |
| 1629504642 | Carissa Mora-rodriguez | Exclusive Provider Organization | 415 E Woodlake Ln, #152, Salt Lake City, UT 84107-1990 | 2017-05-11 |
| 1528207727 | Advanced Hearing Solutions | Exclusive Provider Organization | 4578 Highland Dr Ste 270, Salt Lake City, UT 84117-4214 | 2009-02-11 |
| 1730326919 | Heritage Counseling, Pllc | Exclusive Provider Organization | 1747 Heritage Ln Ste B103, Syracuse, UT 84075-8546 | 2009-01-09 |
| 1396906962 | Places In The Heart, Inc | Exclusive Provider Organization | 881 S Orem Blvd, Suite 2, Orem, UT 84058-5033 | 2008-06-17 |
| 1871641449 | Family Matters Services Inc | Exclusive Provider Organization | 1604 Church St, Layton, UT 84041-8335 | 2007-01-08 |
| 1639289010 | Daybreak Training Services | Exclusive Provider Organization | 599 W Center St, Pleasant Grove, UT 84062-2252 | 2006-08-30 |
| 1235697608 | Luna Y Sol LLC | Exclusive Provider Organization | 150 S 600 E Ste 7c, Salt Lake City, UT 84102-1989 | 2019-03-05 |
| 1982142824 | Bluffdale Dental | Exclusive Provider Organization | 14100 S Redwood Rd, Bluffdale, UT 84065-5204 | 2017-02-10 |
| 1225571599 | Lds Family Services | Exclusive Provider Organization | 2480 Red Cliffs Dr, St George, UT 84790-5457 | 2016-11-18 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84790 |
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| 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.