Robert Wilcox-Ulikoki Cline, LCSW
Individual provider Active NPI Clinical Social Worker · Eagle Mountain, UT
NPI 1629316450 · NPPES record last updated Jan 29, 2013
Key facts
- NPI
- 1629316450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 7388313-3501 (UT)
- Practice address
- 1952 Revere Way
Eagle Mountain, UT 84005-6042 - Phone
- (801) 427-5444
- NPI assigned
- Jan 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7388313-3501 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7388313-3501 | UT | Yes |
Addresses
Primary practice location
1952 Revere Way
Eagle Mountain, UT 84005-6042
Mailing address
1952 Revere Way
Eagle Mountain, UT 84005-6042
Phone (801) 427-5444
Other names
- Mr. Koki Cline
Other providers in Eagle Mountain, UT
- Cedar Valley Health PLLC
- David Christensen
- Cajin Rain Christianson Savage
- Sdelmira Cifuentes
- Rachael L Clark
- Casey J Colyar
- Joselyn Alejandra Cotton Joachin
- Colby D Critchfield
- Deon Curdy
- Mitchell Robert D'Angina
All providers in Eagle Mountain, 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 Jan 29, 2013. 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.