Diana Lynn Newberry, LCSW
Individual provider Active NPI Clinical Social Worker · Kearns, UT
NPI 1629049218 · NPPES record last updated Feb 24, 2014
Key facts
- NPI
- 1629049218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5419961-3501 (UT)
- Practice address
- 3703 W 6200 S
Kearns, UT 84118-3749 - Phone
- (801) 955-9686
- Fax
- (801) 965-8789
- NPI assigned
- Jan 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5419961-3501 | UT | Yes |
Addresses
Primary practice location
3703 W 6200 S
Kearns, UT 84118-3749
Mailing address
94 North Pine Creek Drive
West Point, UT 84015
Phone (801) 773-7441
Other providers in Kearns, UT
- Jennifer Mitchell
- David Montenegro
- Misty Lynn Morrow
- Sarah Reeve Mulroy
- Multicultural Home Health Services, LLC
- Marissa Danyelle Noot
- Mariah Norton
- Nurse R US
- Stephanie O'Neill
- Thomas Patrick O'Neill
All providers in Kearns, 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 Feb 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.