MICHELLE CRANDALL (NPI# 1053664474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053664474 |
| Entity Type | Individual |
| Full Name | MICHELLE CRANDALL |
| Credential | SUDCI |
| Practice Address |
1726 Buckley Ln Provo UT 84606-5031 |
| Mailing Address |
1334 W 1980 N Provo UT 84604-5629 |
| Practice Telephone | 8013736562 |
| Mailing Telephone | 8018852527 |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053442509 | Michelle Crandall | Registered Nurse | 2800 S State St Ste 215, Ann Arbor, MI 48104-7103 | 2007-03-08 |
| 1508979220 | Michelle D Crandall | Registered Nurse | 1171 Main St., Wyoming, RI 02898 | 2006-08-16 |
| Street Address |
1726 BUCKLEY LN |
| City | PROVO |
| State | UT |
| Zip Code | 84606-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528171493 | House of Hope | Substance Abuse Rehabilitation Facility | 1726 Buckley Ln, Provo, UT 84606-5031 | 2006-08-16 |
| 1154920353 | Brooke Arledge | Social Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-10-20 |
| 1932712981 | Brittany Phillips | Social Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-08-28 |
| 1184255275 | Joey Payne | Counselor | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-28 |
| 1285264556 | Maycin Quiterio | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-24 |
| 1710517081 | Amy Franco | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-24 |
| 1972133684 | Hillary Gentillon | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-22 |
| 1518597111 | Sophie Mcklane Swenson | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-22 |
| 1003446600 | Caylin Louise Lefevre | Community Health Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-22 |
| 1366082729 | Crystal Bettis | Social Worker | 1726 Buckley Ln, Provo, UT 84606-5031 | 2020-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
| 1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
| 1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
| 1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
| Find all providers in zip 84606 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466089 | Wasatch Back Venture Trail | Social Worker | 3585 N University Ave Ste 250, Provo, UT 84604-6622 | 2020-08-07 |
| 1790324903 | Sarah Lauren Campbell | Social Worker | 2624 W 1520 N, Provo, UT 84601-8277 | 2020-01-06 |
| 1366905556 | Kiley Mccall Kidd | Social Worker | 719 N 1890 W # 38b, Provo, UT 84601-1333 | 2019-04-13 |
| 1780163295 | Spencer Kjell Taysom | Social Worker | 341 E 4380 N, Provo, UT 84604-5112 | 2018-08-07 |
| 1164882049 | Matthew A Jonassaint | Social Worker | 487 W 400 N, Provo, UT 84601-2749 | 2016-03-04 |
| 1013301233 | Paubla Thomson | Social Worker | 775 E 700 N, Provo, UT 84606-1954 | 2015-03-25 |
| 1053694364 | Aleksi Poirier | Social Worker | 1157 East 300 North, Provo, UT 84606-6633 | 2011-09-22 |
| 1932330693 | Steven Kelly | Social Worker | 151 S University Ave # 1400, Provo, UT 84601-4427 | 2009-07-29 |
| 1922251065 | Michael Allan Hoffman Jr. | Social Worker | 30 Wymount Ter, Provo, UT 84604-1907 | 2008-11-03 |
| 1134220635 | Adrienne I Duffany | Social Worker | 1161 E 300 N, Provo, UT 84606-3539 | 2006-09-26 |
| Find all providers in PROVO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.