RENA ELDREDGE


Address: 925 E Executive Park Dr, Suite E, Salt Lake City, UT 84117-3581
Phone: 8019042284

RENA ELDREDGE (NPI# 1912160086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912160086
Entity Type Individual
Full Name RENA ELDREDGE
Credential L.C.S.W.
Practice Address 925 E Executive Park Dr
Suite E
Salt Lake City
UT 84117-3581
Practice Telephone 8019042284
Mailing Telephone 8019042284
Enumeration Date 2008-07-08
Last Update Date 2014-02-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 343569-3502 UT Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
343569-3501 UT Behavioral Health & Social Service Providers

Office Location

Street Address 925 E EXECUTIVE PARK DR
SUITE E
City SALT LAKE CITY
State UT
Zip Code 84117-3581

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1922403765 Tri-peak, Pllc Psychologist 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 2014-10-22
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1821348640 Fabiola Marquez Jamieson Social Worker 4500 S 2180 E, Suite 165, Holladay, UT 84117 2012-09-19
1073882882 Amy Rose White Social Worker 4500 South 2180 East, Suite 165, Holladay, UT 84117 2011-12-22
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

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Competitor

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City SALT LAKE CITY
Zip Code 84117

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Dataset Information

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.

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