Khanni Rebecca Bills, LCSW
Individual provider Active NPI Clinical Social Worker · Cottonwood Heights, UT
NPI 1831580919 · NPPES record last updated Feb 11, 2015
Key facts
- NPI
- 1831580919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 308492-3501 (UT)
- Practice address
- 7719 S Avondale Dr
Cottonwood Heights, UT 84121-5508 - Phone
- (801) 214-4542
- NPI assigned
- Feb 11, 2015
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308492-3501 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 308492-3501 | UT | Yes |
Addresses
Primary practice location
7719 S Avondale Dr
Cottonwood Heights, UT 84121-5508
Mailing address
7719 S Avondale Dr
Cottonwood Heights, UT 84121-5508
Phone (801) 214-4542
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308492-3501 | Other | UT | UTAH STATE DEPT OF PROFESSIONAL LICENSING |
Other providers in Cottonwood Heights, UT
- Seth Allen Bertagnole
- Lisa Heider Bertram
- Better Future, LLC
- Kaleb Aaron Betts
- Rebekah Biggerstaff
- Ionut Vasile Bindea
- Alexis Bitner
- Kelsee Jean Black
- Simon Bliss
- Maran Campbell Bloomingdale
All providers in Cottonwood Heights, 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 11, 2015. 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.