| Carlos Alberto Palomo, LCSW | |
| 
					721 E 12200 S Ste 101, Draper, UT 84020-9723  | |
| (801) 369-8989 | |
| Not Available | 
| Full Name | Carlos Alberto Palomo | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 721 E 12200 S Ste 101, Draper, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457701203 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9807976-3502 (Utah) | Primary | 
| Entity Name | Cedar Psychiatry Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265092282 PECOS PAC ID: 2163750688 Enrollment ID: O20190822000230  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carlos Alberto Palomo, LCSW 721 E 12200 S Ste 101, Draper, UT 84020-9723 Ph: (801) 369-8989  | Carlos Alberto Palomo, LCSW 721 E 12200 S Ste 101, Draper, UT 84020-9723 Ph: (801) 369-8989  | 
Suzanne Hinds, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14009 S Hawberry Rd, Draper, UT 84020 Phone: 801-791-1588  | |
Marilee Woolstenhulme, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 121 W Election Rd Ste 1, Draper, UT 84020 Phone: 801-525-4645  | |
Jessica Paix Williamson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11618 S State St Ste 1604, Draper, UT 84020 Phone: 385-202-5645  | |
Yvonne Tinajero,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12222 S 1000 E, Draper, UT 84020 Phone: 801-987-3592  | |
Mrs. Lydia Anne Bailey,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 W Election Rd Ste 110, Draper, UT 84020 Phone: 801-525-4645  | |
Charlize Brielle Wilson,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11576 S State St Ste 1202a, Draper, UT 84020 Phone: 385-365-5881  | |
Mrs. Ashley Mcculloch, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11650 S State St Ste 104, Draper, UT 84020 Phone: 801-867-3472  |