| Tiffany Statham, LCSW | |
|
1034 N 500 W, Provo, UT 84604-3380 | |
| (801) 357-2068 | |
| (801) 357-7274 |
| Full Name | Tiffany Statham |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 15 Years |
| Location | 1034 N 500 W, Provo, 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 |
|---|---|---|---|
| 1669808317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7922725-3501 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3956 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Statham, LCSW 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-2068 | Tiffany Statham, LCSW 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-2068 |
Brenna Garrett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4400 | |
Mrs. Karen Dee Amsden, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 | |
Frederick Brewer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Suite 108, Provo, UT 84601 Phone: 801-373-7394 | |
William Kory Camp, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1300 E Center St, Provo, UT 84606 Phone: 801-344-4215 | |
Alaina Barrick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4045 N Canyon Rd, Provo, UT 84604 Phone: 859-582-0032 | |
Kayelyn Robinson, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 750 N 200 W, Suite 300, Provo, UT 84601 Phone: 801-373-4760 | |
Erin Beth Awerkamp, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 580 E 600 S, Provo, UT 84606 Phone: 801-960-1648 Fax: 801-356-0322 |