| Mr Douglas Paul Thomas, LCSW | |
|
100 S 1000 W, Tooele, UT 84074-4010 | |
| (435) 843-3520 | |
| (435) 843-3555 |
| Full Name | Mr Douglas Paul Thomas |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 100 S 1000 W, Tooele, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356327084 | NPI | - | NPPES |
| 751648 | Other | DESERET MUTUAL | |
| 94293848015 | Other | CHAMPUS | |
| 107012410101 | Other | INTERMOUNTAIN HEALTH CARE | |
| 29297535000001 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 292975-3501 (Utah) | Primary |
| Entity Name | Sundance Behavioral Resources Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326157355 PECOS PAC ID: 5496979239 Enrollment ID: O20140617001287 |
| Entity Name | Optum Behavioral Care Of Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942076633 PECOS PAC ID: 7719325083 Enrollment ID: O20240723004739 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas Paul Thomas, LCSW 100 S 1000 W, Tooele, UT 84074-4010 Ph: () - | Mr Douglas Paul Thomas, LCSW 100 S 1000 W, Tooele, UT 84074-4010 Ph: (435) 843-3520 |
Keri B Stone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 71 N 50 W, Tooele, UT 84074 Phone: 801-990-4300 Fax: 801-967-2127 | |
Reina Marie Hansen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1244 N Main St Ste 203, Tooele, UT 84074 Phone: 435-882-4354 | |
Kylie Silva, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 S 1000 W, Tooele, UT 84074 Phone: 888-949-4864 | |
Mr. Chris Corey Hakes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 50 N Main St, Tooele, UT 84074 Phone: 801-414-3252 Fax: 801-967-2127 | |
Pamela Joan Bennett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 S 1000 W, Tooele, UT 84074 Phone: 435-843-3520 | |
Jennifer Westover, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 W Vine St, Tooele, UT 84074 Phone: 435-882-4354 | |
Hayley Baldwin Baldwin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2356 N 400 E, Tooele, UT 84074 Phone: 435-850-2547 |