| Michaela Sofia Higashiyama, LCSW | |
|
2850 N 2000 W Ste 101, Farr West, UT 84404-9230 | |
| (801) 528-5095 | |
| (801) 528-5094 |
| Full Name | Michaela Sofia Higashiyama |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 2850 N 2000 W Ste 101, Farr West, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629806955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-72295 (Montana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 14235706-3501 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Revere Health Pc | 7517868508 | 410 |
| Mailing Address | Practice Location Address |
|---|---|
| Michaela Sofia Higashiyama, LCSW 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Michaela Sofia Higashiyama, LCSW 2850 N 2000 W Ste 101, Farr West, UT 84404-9230 Ph: (801) 528-5095 |
Hannah Fick, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1812 N 2000 W, Suite 6, Farr West, UT 84404 Phone: 801-605-3086 | |
Solomon Benjamin Boyce, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1812 N 2000 W Ste 7, Farr West, UT 84404 Phone: 801-710-0421 | |
Mrs. Amanda K Funk, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3929 N 2700 W, Farr West, UT 84404 Phone: 435-232-2895 | |
Madison Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1812 N 2000 W Ste 6, Farr West, UT 84404 Phone: 801-605-3086 | |
Taylor Bell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1812 N 2000 W Ste 6, Farr West, UT 84404 Phone: 801-605-3086 |