| Avery Alexander, LCSW | |
|
5500 W Bagley Park Rd, West Jordan, UT 84081-5697 | |
| (801) 282-1000 | |
| Not Available |
| Full Name | Avery Alexander |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 5500 W Bagley Park Rd, West Jordan, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679154892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11542668-3501 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascendant Behavioral Health Llc | 1850673187 | 62 |
| Entity Name | Ascendant Behavioral Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689128605 PECOS PAC ID: 1850673187 Enrollment ID: O20170123001085 |
| Mailing Address | Practice Location Address |
|---|---|
| Avery Alexander, LCSW 10482 S Golden Willow Dr, Sandy, UT 84070-4236 Ph: (510) 610-4157 | Avery Alexander, LCSW 5500 W Bagley Park Rd, West Jordan, UT 84081-5697 Ph: (801) 282-1000 |
Susannah Holden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8977 S 1300 W # 2123, West Jordan, UT 84088 Phone: 385-474-9958 |
Chelsey Tautkus, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7601 South Redwood Road,, Building E, West Jordan, UT 84084 Phone: 801-233-8670 Fax: 801-233-8682 |
Joanne Marie Brito-duran, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7625 S 3200 W Ste 2, West Jordan, UT 84084 Phone: 801-915-0359 |
Janaka Vander Kooi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9263 Redwood Rd Bldg 8, West Jordan, UT 84088 Phone: 801-566-0749 Fax: 801-566-7108 |
Tayler Jane Iversen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7601 S Redwood Rd, West Jordan, UT 84084 Phone: 867-080-1233 |
David Burrows, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8783 S Redwood Rd Ste C, West Jordan, UT 84088 Phone: 435-799-5035 Fax: 435-535-3782 |
Carolyn Memmott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8537 S Redwood Rd Ste C2, West Jordan, UT 84088 Phone: 801-829-9726 |