| Holly Kaye Ancell, LCSW | |
|
255 S Orem Blvd, Orem, UT 84058-3009 | |
| (385) 268-5050 | |
| Not Available |
| Full Name | Holly Kaye Ancell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 255 S Orem Blvd, Orem, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194209825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11771987-3502 (Utah) | Primary |
| Entity Name | Wasatch Behavioral Health Special Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014 |
| Entity Name | Project Reality |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134211626 PECOS PAC ID: 4082669825 Enrollment ID: O20050315000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Kaye Ancell, LCSW 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 | Holly Kaye Ancell, LCSW 255 S Orem Blvd, Orem, UT 84058-3009 Ph: (385) 268-5050 |
Katie Fishman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 S Geneva Rd, Orem, UT 84059 Phone: 801-877-5300 | |
Alicia Hills, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 E 800 S Ste 105, Orem, UT 84058 Phone: 385-283-1032 | |
Morgan Oliphant, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 532 E 800 N, Orem, UT 84097 Phone: 801-386-9639 Fax: 801-701-1574 | |
Rebecca Jane Mcnairy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1125 W Center St, Orem, UT 84057 Phone: 801-903-5903 | |
Trisha Bowden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1554 S 800 E, Orem, UT 84097 Phone: 801-866-2200 | |
Sierra Michelle Balfour, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1443 N 1200 W, Orem, UT 84057 Phone: 801-655-5450 Fax: 385-225-9327 | |
Erin Elizabeth Vasquez, LCSW, RPT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 N 1200 W, Orem, UT 84057 Phone: 801-229-1181 Fax: 801-229-2787 |