Miss Kathleen O'donnell, is a
Social Worker - Clinical based in South Salt Lake, Utah. Miss Kathleen O'donnell is licensed to practice in Utah (license number 11325511-3501) and her current practice location is
2500 S State St, South Salt Lake, Utah. She can be reached at her office (for appointments etc.) via phone at
(385) 646-5000.
NPI number for Miss Kathleen O'donnell is 1285158915 and her current mailing address is 4460 S Highland Dr Ste 230, Salt Lake City, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285158915.
Healthcare Provider's Profile
| Full Name | Miss Kathleen O'donnell |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2500 S State St, South Salt Lake, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285158915
- Provider Enumeration Date: 08/03/2017
- Last Update Date: 05/18/2022
Medical Identifiers
Medical identifiers for Miss Kathleen O'donnell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285158915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041S0200X | Social Worker - School | (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11325511-3501 (Utah) | 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. Miss Kathleen O'donnell 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 |
Miss Kathleen O'donnell, 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 Ph: () - | Miss Kathleen O'donnell, 2500 S State St, South Salt Lake, UT 84115-3164 Ph: (385) 646-5000 |
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