MR. CLARK RANDY POWELL (NPI# 1245543313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245543313 |
| Entity Type | Individual |
| Full Name | MR. CLARK RANDY POWELL |
| Credential | L.C.S.W. |
| Practice Address |
21260 North 1450 East Moroni UT 84646-0383 |
| Practice Telephone | 4358516821 |
| Mailing Telephone | 4358516821 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
139432-3501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
21260 NORTH 1450 EAST |
| City | MORONI |
| State | UT |
| Zip Code | 84646-0383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285021055 | Skyline Treatment | Residential Treatment Facility, Emotionally Disturbed Children | 21260 North 1450 East, Moroni, UT 84646-0383 | 2015-04-20 |
| 1902163678 | Tyler Steven Poulson | Substance Abuse Rehabilitation Facility | 21260 North 1450 East, Moroni, UT 84646 | 2012-04-18 |
| 1295019818 | Lorrie A. Cox | Counselor | 21260 North 1450 East, Moroni, UT 84646-0383 | 2011-09-30 |
| 1386928901 | Mackenzie J. Brown | Counselor | 21260 North 1450 East, Moroni, UT 84646-0383 | 2011-09-30 |
| 1043592637 | Michael David Hassler | Substance Abuse Rehabilitation Facility | 21260 North 1450 East, Moroni, UT 84646-0461 | 2011-09-09 |
| 1700187424 | Sandra Nunley | Counselor | 21260 North 1450 East, Moroni, UT 84646-0383 | 2010-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942727029 | Doug Lloyd Hopes | Counselor | 21630 North 1450 East, Morona, UT 84646 | 2017-08-29 |
| 1881002061 | Compass Academy Transitional Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4800 E 17160 N, Moroni, UT 84646 | 2014-07-31 |
| 1932534260 | Matthew Truman Johnson | Substance Abuse Rehabilitation Facility | 2860 E 19500 N, Moroni, UT 84646 | 2013-09-05 |
| 1457611766 | Samuel Paul Wilkey | Substance Abuse Rehabilitation Facility | 21360 N 1450e, Moroni, UT 84646 | 2012-05-21 |
| 1275828949 | Robert Duane Simonson | Social Worker | 4800 East 17160 North, Moroni, UT 84646 | 2011-06-10 |
| 1386950392 | Josh Wilkey | Community Health Worker | 4800 E. 17160 N, Moroni, UT 84646 | 2010-08-27 |
| 1891007886 | Compass Academy | Residential Treatment Facility, Emotionally Disturbed Children | 4800 E. 17160 N., Moroni, UT 84646 | 2010-07-08 |
| 1518906320 | Eileen Keenan Jackson | Family Medicine | 51 E Main St., Moroni, UT 84646 | 2006-06-06 |
| 1225537707 | Jessica Pay | Counselor | 2860 East 19500 North, Moroni, UT 84646 | 2018-02-09 |
| 1134628613 | Todd Pay | Counselor | 2860 East 19500 North, Moroni, UT 84646 | 2018-02-09 |
| Find all providers in zip 84646 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275828949 | Robert Duane Simonson | Social Worker | 4800 East 17160 North, Moroni, UT 84646 | 2011-06-10 |
| 1386182426 | Richard Newton | Social Worker | 21260 N 1450 E, Moroni, UT 84646 | 2017-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619194 | Patricia Collette Johnson | Social Worker | 11075 S State St # 32, Sandy, UT 84070-5164 | 2020-11-05 |
| 1124629597 | Jessica Aimee Furner | Social Worker | 3740 W Market Center Dr Ste 12, Bluffdale, UT 84065-8026 | 2020-11-03 |
| 1679172217 | Restoring Balance Therapy Services, LLC | Social Worker | 20 W Main Street Ct Ste 200, Alpine, UT 84004-1889 | 2020-10-24 |
| 1174122303 | Rachel Ellen Allred | Social Worker | 128 N 100 W Ste 5, Price, UT 84501-2429 | 2020-10-19 |
| 1053910331 | Mount Olympus Counseling Center, Inc. | Social Worker | 4525 S 2300 E Ste 102, Holladay, UT 84117-4682 | 2020-10-19 |
| 1922606763 | Eric Jeffrey Hales | Social Worker | 352 S Denver St Ste 350, Salt Lake City, UT 84111-3059 | 2020-10-14 |
| 1639777568 | Megan Komatsu Inc. | Social Worker | 10815 700 East, Sandy, UT 84070 | 2020-10-13 |
| 1801493382 | Maxwell Marshall Mount | Social Worker | 249 Rodeo Dr, Springville, UT 84663-9472 | 2020-10-07 |
| 1720685571 | Better Options Counseling LLC | Social Worker | 3450 E Barrel Roll Dr, Saint George, UT 84790-5045 | 2020-10-05 |
| 1659986917 | Alliance Counseling Pllc | Social Worker | 352 S Denver St # 215, Slc, UT 84111-3000 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. CLARK RANDY POWELL.
| 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.