| Madeline Claude, | |
|
520 N Market Place Dr, Centerville, UT 84014-4901 | |
| (801) 934-3373 | |
| Not Available |
| Full Name | Madeline Claude |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 520 N Market Place Dr, Centerville, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053967752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11792012-3501 (Utah) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | South Davis Psychological Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386142396 PECOS PAC ID: 0446511927 Enrollment ID: O20180223002317 |
| Mailing Address | Practice Location Address |
|---|---|
| Madeline Claude, 520 N Market Place Dr, Centerville, UT 84014-4901 Ph: (801) 934-3373 | Madeline Claude, 520 N Market Place Dr, Centerville, UT 84014-4901 Ph: (801) 934-3373 |
Aanika J Edwards, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln Ste A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147 | |
Miss Courtney Ann Mcdonough, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln Ste A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147 | |
Kate Emily Garrett Packer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln, A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147 | |
Ms. Julie Blundell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1634 Lewis And Clark Dr, Centerville, UT 84014 Phone: 801-856-4166 | |
Mrs. Karina C Penrod, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln Ste A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147 | |
Mrs. Lisa Steed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94 E Pages Ln, Suite A, Centerville, UT 84014 Phone: 801-294-0578 Fax: 801-298-2147 |