MR. KRISTOFER LUNDEBERG (NPI# 1194003186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194003186 |
| Entity Type | Individual |
| Full Name | MR. KRISTOFER LUNDEBERG |
| Credential | C.S.W. |
| Practice Address |
1578 W 1700 S Suite #200 Salt Lake City UT 84104-3470 |
| Practice Telephone | 8019722711 |
| Mailing Telephone | 8019722711 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
7920999-3502 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1578 W 1700 S SUITE #200 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84104-3470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568424828 | Child & Family Empowerment Services, LLC | Social Worker | 1578 W 1700 S, Suite #200, Salt Lake City, UT 84104-3470 | 2006-04-03 |
| 1346887437 | Kara Byrne | Social Worker | 1578 W 1700 S, Salt Lake City, UT 84104-3470 | 2019-12-08 |
| 1508400284 | Elaine Navar | Social Worker | 1578 W 1700 S, Salt Lake City, UT 84104-3470 | 2019-11-05 |
| 1831517119 | Christina Kelly Lecluyse | Social Worker | 1578 W 1700 S, Salt Lake City, UT 84104-3470 | 2014-04-02 |
| 1881967321 | Sisifo Taatiti | Social Worker | 1578 W 1700 S, Salt Lake City, UT 84104-3470 | 2012-02-14 |
| 1881901890 | Susan Lee Walker Anderson | Counselor | 1578 W 1700 S, Suite 200, Salt Lake City, UT 84104-3470 | 2010-09-13 |
| 1669789632 | Isabel Teresa Molina-avella | Counselor | 1578 W 1700 S, Suite 200, Salt Lake City, UT 84104-3470 | 2010-09-10 |
| 1700198462 | Leilani Anne Taholo | Social Worker | 1578 W 1700 S, #200, Salt Lake City, UT 84104-3470 | 2010-07-10 |
| 1598076721 | Andrea Heart | Counselor | 1578 W 1700 S, Salt Lake City, UT 84104-3470 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144673013 | Neighborhood House | Clinic/Center | 423 South 1100 West, Salt Lake City, UT 84104 | 2016-07-15 |
| 1790157261 | Global Medical Therapeutics Inc | Pharmacy | 1890 S 3850 W Ste 121-a, Salt Lake City, UT 84104 | 2015-10-23 |
| 1154561090 | Stephen Kent Jones | General Practice | 174 West Parrish Lane, Centerville, UT 84104 | 2009-03-05 |
| 1013037704 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2007-03-29 |
| 1639294721 | Ihc Health Services | Clinic/Center | 855 W 1300 S, Salt Lake City, UT 84104 | 2007-03-20 |
| 1700957552 | Neighborhood House | Custodial Care Facility | 423 So 1100 West, Salt Lake City, UT 84104 | 2006-11-13 |
| 1912014234 | Over The Road Dental | Dentist | 1953 W. California Ave, Salt Lake City, UT 84104 | 2006-08-23 |
| 1962492504 | Lifeskills Vocational Center | Day Training, Developmentally Disabled Services | 1656 W 1500 S, Salt Lake City, UT 84104 | 2005-10-25 |
| 1366439507 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 1765 S 900 W Ste 88, Salt Lake City, UT 84104 | 2005-10-03 |
| 1588813521 | Concentra Health Services, Inc. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2008-09-15 |
| Find all providers in zip 84104 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041576 | Evans Weiss, LLC | Social Worker | 2895 S 1400 E, Salt Lake City, UT 84106-3438 | 2019-09-05 |
| 1891281408 | Sara Bowles | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2018-07-06 |
| 1295221992 | Katie E. Delewski | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2018-07-05 |
| 1699260752 | Nicole Hooker | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2018-06-29 |
| 1962995928 | Taylor Dinicola | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2018-06-13 |
| 1932698685 | Tamara Marie Newbold | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2018-05-08 |
| 1285131466 | Maria Ashkin | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2018-04-12 |
| 1326544040 | Heidie Jane Jorgensen | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2018-04-02 |
| 1124528690 | Taylor Kaye Mitchell | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2018-02-20 |
| 1396245213 | Brittany Ilise Tryon | Social Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2018-02-16 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84104 |
Please comment or provide details below to improve the information on MR. KRISTOFER LUNDEBERG.
| 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.