Jo Lonna Lynn Bangerter Foy, LCSW
Individual provider Active NPI Clinical Social Worker · Brigham City, UT
NPI 1033533377 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1033533377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 7459428-3502 (UT)
- Practice address
- 60 S Main St Ste 101
Brigham City, UT 84302-6794 - Phone
- (435) 224-3903
- NPI assigned
- Feb 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in UT, NV, ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151027000565 | UT | Practitioner - Clinical Social Worker | 9739498148 | Reassigns benefits to 2 organizations |
| I20241226002614 | NV | Practitioner - Clinical Social Worker | 9739498148 | Reassigns benefits to 1 organization |
| I20241230001126 | ID | Practitioner - Clinical Social Worker | 9739498148 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7459428-3502 | UT | MD | Clinical Social Worker |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear River Mental Health Services Inc | Current |
Accepting new patients | |
| Sondermind Provider Network LLC | Clinical | Current |
Accepting new patients |
Locations
3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519
2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311
663 W Hospital Rd
Brigham City, UT 84302
Phone (435) 734-9449
90 E 200 N
Logan, UT 84321
Phone (435) 752-0750
6975 S Union Park Ctr
Ste 600
Midvale, UT 84047
Phone (385) 255-7859
Networks
- UT PPO D-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7459428-3502 | UT | |
| Clinical Social Worker | 1041C0700X | 7459428-3502 | UT | Yes |
Addresses
Primary practice location
60 S Main St Ste 101
Brigham City, UT 84302-6794
Mailing address
1121 Box Elder Way
Garland, UT 84312-9789
Phone (801) 792-6974
Other practice location 1
90 E 200 N
Logan, UT 84321-4034
Phone (435) 752-0750
Other providers in Brigham City, UT
- Emilly Bair
- Lauri Baird
- Deidra Baldwin
- Summer Nicole Ball
- Amuri Balls
- Gina Banham
- Cameron Todd Banner
- Jose Barela Jr.
- Natalie Barfuss
- Joann Barile
All providers in Brigham City, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.