Jordon Kamakilaonalani Ciriako, | |
873 W Baxter Dr, South Jordan, UT 84095-8506 | |
(180) 144-6351 | |
Not Available |
Full Name | Jordon Kamakilaonalani Ciriako |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 873 W Baxter Dr, South Jordan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1417505280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 12338795-3501 (Utah) | Primary |
Entity Name | Reach Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770025918 PECOS PAC ID: 5991225443 Enrollment ID: O20250227000678 |
Mailing Address | Practice Location Address |
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Jordon Kamakilaonalani Ciriako, 1087 W Early Light Way, Bluffdale, UT 84065-1880 Ph: (801) 376-4662 | Jordon Kamakilaonalani Ciriako, 873 W Baxter Dr, South Jordan, UT 84095-8506 Ph: (180) 144-6351 |
Mr. Robert Wimmer, LCSW., MSCJA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10087 S Copper Pit Cir, South Jordan, UT 84095 Phone: 385-439-3674 | |
Jory Woodrow Hatfield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1206 W South Jordan Pkwy Ste D, South Jordan, UT 84095 Phone: 801-302-3801 Fax: 801-302-7248 | |
Taylor Barnes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 873 W Baxter Dr, South Jordan, UT 84095 Phone: 801-446-3515 Fax: 801-601-1578 | |
Jacob K Vickrey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11748 S 3600 W Ste 3, South Jordan, UT 84095 Phone: 801-896-8133 | |
Brooke Jensen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1206 W South Jordan Pkwy Ste D, South Jordan, UT 84095 Phone: 801-302-3801 | |
Jaclyn Amaya Hoglund, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10694 S River Front Pkwy, South Jordan, UT 84095 Phone: 801-317-8522 | |
Rebecca Lovell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1108 W South Jordan Pkwy Ste B, South Jordan, UT 84095 Phone: 801-558-5435 |