| Sloane Smith, LCSW | |
|
124 S 400 E, Salt Lake City, UT 84111-5306 | |
| (801) 783-5560 | |
| (801) 783-5559 |
| Full Name | Sloane Smith |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 26 Years |
| Location | 124 S 400 E, Salt Lake City, 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 |
|---|---|---|---|
| 1598734139 | NPI | - | NPPES |
| 1390103501 | Other | UT | STATE PROFESSIONAL LICENS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1390103501 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jennifer Fairbourn Lmft Llc | 5294116455 | 4 |
| Entity Name | Jennifer Fairbourn Lmft Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356826036 PECOS PAC ID: 5294116455 Enrollment ID: O20220719002188 |
| Mailing Address | Practice Location Address |
|---|---|
| Sloane Smith, LCSW 2124 King St, Salt Lake City, UT 84109-1302 Ph: (801) 783-5660 | Sloane Smith, LCSW 124 S 400 E, Salt Lake City, UT 84111-5306 Ph: (801) 783-5560 |
Mr. Glen Ray Lambert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1361 Rebecca Cir, Salt Lake City, UT 84117 Phone: 801-272-7742 Fax: 801-322-2831 | |
Mr. Mark Lynn Duke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 132 South State, Suite 200, Salt Lake City, UT 84111 Phone: 801-240-3556 | |
Kristine Louise Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Va Slc, 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565 | |
Dr. Joel L Millard, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 E 700 S, Salt Lake City, UT 84111 Phone: 801-364-8080 Fax: 801-364-8098 | |
Matthew Kael Nisson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Michael Keith Slade, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2872 S Highland Dr, Salt Lake City, UT 84106 Phone: 801-485-8051 | |
Laura Marie Baumgart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1390 S 1100 E Ste 204, Salt Lake City, UT 84105 Phone: 734-306-1279 |