| Brittany Shields, | |
|
375 N Main St Ste 202, Kaysville, UT 84037-1278 | |
| (801) 844-1615 | |
| Not Available |
| Full Name | Brittany Shields |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 3 Years |
| Location | 375 N Main St Ste 202, Kaysville, 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 |
|---|---|---|---|
| 1952087124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Salt Lake Wellness Inc | 4789985680 | 6 |
| Entity Name | Great Salt Lake Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790152940 PECOS PAC ID: 4789985680 Enrollment ID: O20151218000873 |
| Mailing Address | Practice Location Address |
|---|---|
| Brittany Shields, 375 N Main St Ste 202, Kaysville, UT 84037-1278 Ph: (801) 844-1615 | Brittany Shields, 375 N Main St Ste 202, Kaysville, UT 84037-1278 Ph: (801) 844-1615 |
Camille Thea Miskin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 498 N Kays Dr, Kaysville, UT 84037 Phone: 801-525-4645 |
Blair Dantz Blonquist, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 498 N 900 W Ste 220, Kaysville, UT 84037 Phone: 801-603-1544 |
Joanne Lee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 498 N Kays Dr Ste 210, Kaysville, UT 84037 Phone: 801-738-4653 Fax: 435-703-6499 |
Graciela Cross, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 E 600 N, Kaysville, UT 84037 Phone: 801-648-6286 |
Monica Jergensen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 498 N 900 W Ste 200, Kaysville, UT 84037 Phone: 801-525-4645 |
Carson Field, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 669 S 510 E, Kaysville, UT 84037 Phone: 507-461-5575 |
Wendi Christensen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 Houston Ct, Kaysville, UT 84037 Phone: 801-369-5029 |