Jennifer R Brown (NPI# 1609042480, PAC ID# 4082974209) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1609042480 |
| PAC ID by PECOS | 4082974209 |
| Professional Enrollment ID | I20180208002198 |
| Full Name | Jennifer R Brown |
| Organization Legal Name | CHRYSALIS UTAH, INC. |
| Address |
1507 S 180 Provo UT 84606-5570 |
| Phone Number | 8016554950 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4284735846 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 912 N 2175 W Cir, Cedar City, UT 84720-8491 | 8016554950 | CHRYSALIS UTAH, INC. |
| 1507 S 180, Provo, UT 84606-5570 | 8016554950 | CHRYSALIS UTAH, INC. |
| Organization Legal Name | CHRYSALIS UTAH, INC. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan J Walley | Clinical Social Worker | Chrysalis Utah, Inc. | 912 N 2175 W Circle, Cedar City, UT 84720 |
| Chelsea Gambles | Clinical Social Worker | Chrysalis Utah, Inc. | 912 N 2175 W Cir, Cedar City, UT 84720-8491 |
| Richard L Adams | Clinical Social Worker | Chrysalis Utah, Inc. | 1507 S 180, Provo, UT 84606-5570 |
| Terry R Routt | Clinical Social Worker | Chrysalis Utah, Inc. | 912 N 2175 W Cir, Cedar City, UT 84720-8491 |
| Kevin Cook | Clinical Social Worker | Chrysalis Utah, Inc. | 912 N 2175 W Cir, Cedar City, UT 84720-8491 |
| Amanda Hanson Stansfield | Clinical Social Worker | Chrysalis Utah, Inc. | 912 N 2175 W Cir, Cedar City, UT 84720-8491 |
| Kimberly Burnett | Clinical Social Worker | Chrysalis Utah, Inc. | 912 N 2175 W Cir, Cedar City, UT 84720-8491 |
| Douglas K Stone | Clinical Social Worker | Chrysalis Utah, Inc. | 1507 S 180, Provo, UT 84606-5570 |
| Sueann Yahne | Clinical Social Worker | Chrysalis Utah, Inc. | 912 N 2175 W Cir, Cedar City, UT 84720-8491 |
| Jeffrey J Carr | Clinical Social Worker | Chrysalis Utah, Inc. | 1507 S 180, Provo, UT 84606-5570 |
| Street Address |
1507 S 180 |
| City | PROVO |
| State | UT |
| Zip | 84606-5570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Adams | Clinical Social Worker | Chrysalis Utah, Inc. | 1507 S 180, Provo, UT 84606-5570 |
| Douglas K Stone | Clinical Social Worker | Chrysalis Utah, Inc. | 1507 S 180, Provo, UT 84606-5570 |
| Jeffrey J Carr | Clinical Social Worker | Chrysalis Utah, Inc. | 1507 S 180, Provo, UT 84606-5570 |
| Chad N Thurston | Clinical Social Worker | Chrysalis Utah, Inc. | 1507 S 180, Provo, UT 84606-5570 |
| Bradley B Saunders | Clinical Social Worker | Chrysalis Utah, Inc. | 1507 S 180, Provo, UT 84606-5570 |
| Jason A Harrison | Clinical Social Worker | Chrysalis Utah, Inc. | 1507 S 180, Chrysalis Utah, Provo, UT 84606-5570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie D Taylor | Nurse Practitioner | Optimal Health Family Practice Pllc | 75 S 200, Suite 100, Provo, UT 84606-3146 |
| Alyssa Dawn Vest | Nurse Practitioner | Optimal Health Family Practice Pllc | 75 S 200, Suite 100, Provo, UT 84606-3146 |
| Elizabeth Daniels | Nurse Practitioner | Optimal Health Family Practice Pllc | 75 S 200, Suite 100, Provo, UT 84606-3146 |
| Barry A Clanton | Physician Assistant | Clanton Enterprises Series LLC | 75 S 200 E, Suite 202, Provo, UT 84606-3168 |
| Nathaniel L Gay | Nurse Practitioner | Clanton Enterprises Series LLC | 75 S 200 E, Suite 202, Provo, UT 84606-3168 |
| Lawrence Paul Dunning | Clinical Psychologist | Wasatch Mental Health Services Special Service District | 1165 E 300, Provo, UT 84606-3539 |
| Heidi Busch | Clinical Social Worker | Wasatch Mental Health Services Special Service District | 1165 E 300, Provo, UT 84606-3539 |
| Elizabeth Feil | Clinical Social Worker | Wasatch Mental Health Services Special Service District | 1165 E 300, Provo, UT 84606-3539 |
| Mac J Gilbert | Psychologist, Clinical | State of Utah | 1300 E Ctr St, Utah State Hospital, Provo, UT 84606-3554 |
| Douglas P Benson Ii | Psychologist, Clinical | State of Utah | 1300 E Ctr St, Utah State Hospital, Provo, UT 84606-3554 |
| Find all physicians in zip 84606 | |||
| City | PROVO |
| Zip Code | 84606 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PROVO + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.