Tammy Ellis, | |
390 N Main St, Bountiful, UT 84010-6046 | |
(801) 408-8502 | |
Not Available |
Full Name | Tammy Ellis |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 390 N Main St, Bountiful, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598167488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9846070-3502 (Utah) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Weber Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043243140 PECOS PAC ID: 3274430244 Enrollment ID: O20031217000665 |
Mailing Address | Practice Location Address |
---|---|
Tammy Ellis, Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Tammy Ellis, 390 N Main St, Bountiful, UT 84010-6046 Ph: (801) 408-8502 |
Bremen William Acord, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Dr Ste D101, Bountiful, UT 84010 Phone: 801-683-1062 Fax: 801-295-5537 | |
Ms. Jackie R Hawkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 956 E 800 S, Bountiful, UT 84010 Phone: 801-512-5756 | |
Brooke Kumar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 N Main St Ste 104, Bountiful, UT 84010 Phone: 801-298-5222 | |
Holly Willard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St, Suite 201, Bountiful, UT 84010 Phone: 801-550-9057 | |
Suzanna Cressall, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 880 S 650 E, Bountiful, UT 84010 Phone: 801-318-9573 | |
Dr. Kelly Carl Feller, PHD, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 537 W 2600 S, Suite 203, Bountiful, UT 84010 Phone: 801-809-1049 | |
Penny Kay Allen, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1459 N Main St # 100, Bountiful, UT 84010 Phone: 801-298-2000 |