Adam Cheney

Individual provider Active NPI Clinical Social Worker · Hurricane, UT

NPI 1639629843 · NPPES record last updated Oct 12, 2016

Key facts

NPI
1639629843
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
5556996-3502 (UT)
Practice address
97 S 6225 W
Hurricane, UT 84737-6135
Phone
(435) 688-4427
NPI assigned
Oct 12, 2016
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)
Yes

State licenses

LicenseStateTypeSpecialty
5556996-3502UTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5556996-3502 UT Yes

Addresses

Primary practice location

97 S 6225 W
Hurricane, UT 84737-6135

Mailing address

97 S 6225 W
Hurricane, UT 84737-6135
Phone (435) 688-4427

Other providers in Hurricane, UT

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

Sources for this page

Verify at the official NPI Registry.