Janet Madeleine Pohanka, LCSW
Individual provider Active NPI Clinical Social Worker · Salt Lake City, UT
NPI 1861477556 · NPPES record last updated Feb 5, 2016
Key facts
- NPI
- 1861477556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 132557-3501 (UT)
- Practice address
- 1141 E 3900 S Ste A170
Salt Lake City, UT 84124-1250 - Phone
- (801) 284-4990
- NPI assigned
- Dec 14, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132557-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Mental Health Incorporated | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 132557-3501 | UT | Yes |
Addresses
Primary practice location
1141 E 3900 S Ste A170
Salt Lake City, UT 84124-1250
Mailing address
1141 E 3900 S Ste A170
Salt Lake City, UT 84124-1250
Phone (801) 284-4990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261927 | Other | UT | DESERET MUTUAL |
| 942938348P01 | Other | UT | EDUCATOR'S MUTUAL |
| 005739004 | Other | UT | RAILROAD MEDICARE |
| 107001390101 | Other | UT | INTERMTN HEALTH CARE |
| 942938348002 | Other | UT | CHAMPUS |
Other providers in Salt Lake City, UT
- Miranda Janet Poarch
- Podiatry Center Inc
- Gilbert Podolsky
- Taylor Denise Poelman
- Jill Pogue
- John F. Pohl
- Susan D. Pohl
- Brooke Pohlman
- Spencer Pohlman
- Jacob William Pointon
All providers in Salt Lake City, 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 5, 2016. 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.