Jonatan Lopez Mancilla, is a
Social Worker based in Ephraim, Utah. Jonatan Lopez Mancilla is licensed to practice in * (Not Available) (license number ) and his current practice location is
390 W 100 N, Ephraim, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 283-4065.
NPI number for Jonatan Lopez Mancilla is 1053973685 and his current mailing address is 152 N 400 W, Ephraim, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053973685.
Healthcare Provider's Profile
| Full Name | Jonatan Lopez Mancilla |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 390 W 100 N, Ephraim, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053973685
- Provider Enumeration Date: 07/03/2019
- Last Update Date: 10/17/2025
Medical Identifiers
Medical identifiers for Jonatan Lopez Mancilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053973685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonatan Lopez Mancilla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonatan Lopez Mancilla,
152 N 400 W,
Ephraim, UT 84627-5549
Ph: (435) 283-8400 | Jonatan Lopez Mancilla,
390 W 100 N,
Ephraim, UT 84627-2131
Ph: (435) 283-4065 |
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