Richard Sheldon Willey, LCSW
Individual provider Active NPI Clinical Social Worker · Kearns, UT
NPI 1750352837 · NPPES record last updated Mar 28, 2012
Key facts
- NPI
- 1750352837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2760983501 (UT)
- Practice address
- 3809 W 6200 S
Kearns, UT 84118-3725 - Phone
- (801) 963-4357
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2760983501 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2760983501 | UT | Yes |
Addresses
Primary practice location
3809 W 6200 S
Kearns, UT 84118-3725
Mailing address
10166 S 360 E
Sandy, UT 84070-4309
Phone (801) 571-7180
Other providers in Kearns, UT
- Walgreen Co
- Arden L Weintraub
- Joel Kay Wendel
- Cassandra Gat Westenskow
- Susan Whirlwind-Soldier
- Tommy Joseph Williams
- Amber Malea Woodward
- Bradford Woolston
- Lorna Zimmerman
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 Mar 28, 2012. 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.