| Justin Brady, | |
|
75 E Fort Union Blvd Ste C151, Midvale, UT 84047-5517 | |
| (801) 503-6989 | |
| Not Available |
| Full Name | Justin Brady |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 75 E Fort Union Blvd Ste C151, Midvale, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053782698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Random Angst Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285497206 PECOS PAC ID: 6709311228 Enrollment ID: O20241121000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Brady, 7252 W Aberford Dr, West Jordan, UT 84081-7304 Ph: (801) 209-4504 | Justin Brady, 75 E Fort Union Blvd Ste C151, Midvale, UT 84047-5517 Ph: (801) 503-6989 |
Shannon Elizabeth Aaron, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 613 E Fort Union Blvd Ste 104, Midvale, UT 84047 Phone: 801-984-1717 | |
Jenny Mariah Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 91 E Fort Union Blvd, Midvale, UT 84047 Phone: 801-569-1995 | |
Mrs. Jessica Anne Thompson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6770 S 900 E Ste 201, Midvale, UT 84047 Phone: 801-305-3171 | |
Kay Sue Simons, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 356 E 6990 S, Midvale, UT 84047 Phone: 801-400-9378 | |
Mr. Dean M Kennington, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7434 S State St, Midvale, UT 84047 Phone: 801-566-4423 | |
Ms. Erin Gibson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6770 S 900 E Ste 105, Midvale, UT 84047 Phone: 541-554-5606 |