Mrs Rebecca Connie Pedersen, LICSW,SUDP,LCSW is a
Social Worker - Clinical based in American Fork, Utah. Mrs Rebecca Connie Pedersen is licensed to practice in Utah (license number 365936-3501) and her current practice location is
802 E Bamberger Dr Ste A, American Fork, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 633-9887.
NPI number for Mrs Rebecca Connie Pedersen is 1386022978 and her current mailing address is 802 E Bamberger Dr Ste A, American Fork, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386022978.
Healthcare Provider's Profile
| Full Name | Mrs Rebecca Connie Pedersen |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 802 E Bamberger Dr Ste A, American Fork, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386022978
- Provider Enumeration Date: 05/14/2015
- Last Update Date: 10/02/2024
Medical Identifiers
Medical identifiers for Mrs Rebecca Connie Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386022978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60818488 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61089331 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | 365936-3501 (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. Mrs Rebecca Connie Pedersen 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 |
|---|
Mrs Rebecca Connie Pedersen, LICSW,SUDP,LCSW
802 E Bamberger Dr Ste A,
American Fork, UT 84003-2179
Ph: (801) 633-9887 | Mrs Rebecca Connie Pedersen, LICSW,SUDP,LCSW
802 E Bamberger Dr Ste A,
American Fork, UT 84003-2179
Ph: (801) 633-9887 |
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