| Jeffrey Marvin Dalley, LCSW | |
|
750 N Freedom Blvd, Provo, UT 84601-1677 | |
| (801) 373-4760 | |
| Not Available |
| Full Name | Jeffrey Marvin Dalley |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 30 Years |
| Location | 750 N Freedom Blvd, Provo, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922012251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 294359-3501 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wasatch Behavioral Health Special Service District | 2567367915 | 78 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Marvin Dalley, LCSW 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 | Jeffrey Marvin Dalley, LCSW 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 |
Brenna Garrett, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 | |
Mrs. Karen Dee Amsden, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 | |
Frederick Brewer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Suite 108, Provo, UT 84601 Phone: 801-373-7394 | |
William Kory Camp, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4215 | |
Benjamin Theurer, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 | |
Alaina Barrick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4045 N Canyon Rd, Provo, UT 84604 Phone: 859-582-0032 | |
Kayelyn Robinson, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W, Suite 300, Provo, UT 84601 Phone: 801-373-4760 |