| Melody A Miller, LCSW | |
|
285 W 800 S, Roosevelt, UT 84066-3707 | |
| (435) 725-6300 | |
| (435) 725-6325 |
| Full Name | Melody A Miller |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 285 W 800 S, Roosevelt, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508949785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 309888-3501 (Utah) | Primary |
| Entity Name | Uintah Basin Tri-county Mental Health And Substance Abuse Local Author |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891873121 PECOS PAC ID: 9133183072 Enrollment ID: O20041119000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Melody A Miller, LCSW Po Box 37, Myton, UT 84052-0037 Ph: (435) 725-6300 | Melody A Miller, LCSW 285 W 800 S, Roosevelt, UT 84066-3707 Ph: (435) 725-6300 |
Theresa J Ingram, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Jessica Jean Tibbitts, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 244 W Highway 40, Roosevelt, UT 84066 Phone: 435-401-3001 Fax: 801-375-4241 | |
Karin G Douthit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Suzanne Maddocks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Pamala Kay Draper, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Kayla Elaine Taylor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 | |
Holly Michelle Mickelson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 290 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325 |