| Jessica Michelle Moody, | |
|
3336 S Pioneer Pkwy Ste 201, West Valley City, UT 84120-2085 | |
| (801) 313-0555 | |
| Not Available |
| Full Name | Jessica Michelle Moody |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3336 S Pioneer Pkwy Ste 201, West Valley City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497269955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10378593-3502 (Utah) | Primary |
| Entity Name | Sondermind Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003646977 PECOS PAC ID: 0547795791 Enrollment ID: O20250117002545 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Michelle Moody, 1723 S Soleil Cv, Salt Lake City, UT 84108-1300 Ph: (801) 870-8963 | Jessica Michelle Moody, 3336 S Pioneer Pkwy Ste 201, West Valley City, UT 84120-2085 Ph: (801) 313-0555 |
Ms. Annalise John, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3556 S 5600 W # 1-660, West Valley City, UT 84120 Phone: 651-269-5019 | |
Chloe M Lehman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3280 W 3500 S Ste E, West Valley City, UT 84119 Phone: 801-979-1351 | |
Shannon Louise Vanderkooi, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5698 W Glen Eagle Dr, West Valley City, UT 84128 Phone: 801-969-4181 | |
Laura Mcinerney, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2655 S Lake Erie Dr, West Valley City, UT 84120 Phone: 385-441-4900 | |
Christina Kathryn Harden, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3725 W 4100 S Ste 201, West Valley City, UT 84120 Phone: 801-565-6900 | |
Mannon Christianson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2655 S Lake Erie Dr, West Valley City, UT 84120 Phone: 385-441-4900 | |
Tyler Robinson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3275 W 3100 S, West Valley City, UT 84119 Phone: 385-646-8837 |