Jennifer Thomas (NPI# 1972568152, PAC ID# 8820046808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1972568152 |
PAC ID by PECOS | 8820046808 |
Professional Enrollment ID | I20050106000234 |
Full Name | Jennifer Thomas |
Organization Legal Name | FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH, INC. |
Address |
45 E 100 Castle Dale UT 84513-4500 |
Phone Number | 4353812432 |
Gender | F |
Credential | CSW |
Graduation Year | 2001 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Group Practice PAC ID | 2769377415 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
45 E 100, Castle Dale, UT 84513-4500 | 4353812432 | FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH, INC. |
Organization Legal Name | FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH, INC. |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Caroline F Merveille | Psychiatry | Four Corners Community Behavioral Health, Inc. | 198 E Ctr St, Moab, UT 84532-2430 |
Roberta C Erwin | Clinical Social Worker | Four Corners Community Behavioral Health, Inc. | 575 E 100, Price, UT 84501-3102 |
Street Address |
45 E 100 |
City | CASTLE DALE |
State | UT |
Zip | 84513-4500 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lowell Gardner Morris | Physician Assistant | Castleview Hospital LLC | 90 W Main St, Castledale, UT 84513-0607 |
Gabriel J Sermon | Physician Assistant | Castleview Hospital LLC | 90 W Main St, Castledale, UT 84513-0607 |
Jonathon Michael Fauver | Clinical Social Worker | 365 N Ctr St, Castle Dale, UT 84513-0821 | |
Derek Devon Labrum | Physical Therapy | Prorehab Physical Therapy | 150 E Main St, Castle Dale, UT 84513-4532 |
Scott R Labrum | Physical Therapy | Prorehab Physical Therapy | 150 E Main St, Castle Dale, UT 84513-4532 |
Steven O Tuttle | Optometry | 190 E Main St, Castle Dale, UT 84513-4532 |
City | CASTLE DALE |
Zip Code | 84513 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | CASTLE DALE + 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.