Jeanette Brown

Individual provider Active NPI Clinical Social Worker · Mapleton, UT

NPI 1568002772 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1568002772
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
274405-3501 (UT)
Practice address
1308 S 1600 W
Mapleton, UT 84664-4221
Phone
(385) 327-7334
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
274405-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Ranch Past
since Jan 19, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 274405-3501 UT Yes

Addresses

Primary practice location

1308 S 1600 W
Mapleton, UT 84664-4221

Mailing address

1308 S 1600 W
Mapleton, UT 84664-4221

Electronic endpoints

TypeEndpointUseAffiliation
Other URL jeanetteb@discoveryranch.net

Other providers in Mapleton, UT

All providers in Mapleton, UT · Clinical Social Worker in Utah

Sources for this page

Verify at the official NPI Registry.