ROBIN POTOCHNICK (NPI# 1356305213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356305213 |
| Entity Type | Individual |
| Full Name | ROBIN POTOCHNICK |
| Credential | RN LCSW |
| Practice Address |
77 South 600 East Price UT 84501 |
| Mailing Address |
Po Box 867 105 West 100 North Price UT 84501 |
| Practice Telephone | 4356374262 |
| Practice Fax Number | 4356374264 |
| Mailing Telephone | 4356377200 |
| Mailing Fax Number | 4356372377 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1041C0700X |
Social Worker Specialization: Clinical |
1908033501 | UT | Behavioral Health & Social Service Providers |
| X | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
1908033102 | UT | Nursing Service Providers |
| Street Address |
77 SOUTH 600 EAST |
| City | PRICE |
| State | UT |
| Zip Code | 84501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043764616 | Robin Archibald | Case Manager/Care Coordinator | 77 South 600 East, Price, UT 84501 | 2016-08-11 |
| 1437520681 | Stephanie Rae Procarione | Case Manager/Care Coordinator | 77 South 600 East, Price, UT 84501-0000 | 2015-10-14 |
| 1346644978 | Mindy Leigh Mcbride | Social Worker | 77 South 600 East, Price, UT 84501-0000 | 2014-10-10 |
| 1508276841 | Evylen Maclean | Case Manager/Care Coordinator | 77 South 600 East, Price, UT 84501-0000 | 2014-05-07 |
| 1659702355 | Andrea Lynn Jones | Case Manager/Care Coordinator | 77 South 600 East, Price, UT 84501-0000 | 2013-12-05 |
| 1831443340 | Lorie A Rogers | Driver | 77 South 600 East, Price, UT 84501-0000 | 2012-11-06 |
| 1013266006 | Leoma Sampier | Case Manager/Care Coordinator | 77 South 600 East, Price, UT 84501-3102 | 2012-09-05 |
| 1982969457 | Kevin Smith | Case Manager/Care Coordinator | 77 South 600 East, Price, UT 84501-3102 | 2012-07-10 |
| 1609144930 | Olga Laura Migliori | Case Manager/Care Coordinator | 77 South 600 East, Price, UT 84501-3102 | 2011-12-01 |
| 1306154364 | Christopher D. Keil | Counselor | 77 South 600 East, Price, UT 84501-3102 | 2010-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300079 | Kayleigh Maxfield | Case Manager/Care Coordinator | 77 S. 600 E., Price, UT 84501 | 2020-03-06 |
| 1174160071 | Kelli Fowles | Pharmacist | Smith's Food & Drug, 1075 E Main St, Price, UT 84501 | 2019-12-10 |
| 1225683733 | Zachary Kreek | Registered Nurse | 77 South 600 East Suite C, Price, UT 84501 | 2019-08-02 |
| 1578036547 | Boni Lee Taylor | Counselor | 445 North Carbonville Road, Price, UT 84501 | 2019-01-02 |
| 1023591310 | Center for Independent Living, Inc | Durable Medical Equipment & Medical Supplies | 2490 Mariner Square Loop, Suite 210, Alameda, CA 84501 | 2018-09-12 |
| 1023500360 | Dkmcomber Clinical Services | Nurse Practitioner | 590 E 100 N Ste 7, Price, UT 84501 | 2018-06-02 |
| 1326569245 | Castleview Physician Practice, LLC | Internal Medicine | 317 East 100 North, Price, UT 84501 | 2017-06-30 |
| 1255783874 | Cacilia Jensen | Case Manager/Care Coordinator | 105 W. 100 N., Price, UT 84501 | 2016-07-07 |
| 1801133905 | Joseph Micah Woodard | Counselor | 575 E. 100 S., Price, UT 84501 | 2013-01-09 |
| 1447513221 | Eugene Douglas Larsen Jr. | Internal Medicine | 280 N Hospital Dr Ste 4, Price, UT 84501 | 2012-06-18 |
| Find all providers in zip 84501 | ||||
| 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 |
|---|---|---|---|---|
| 1174122303 | Rachel Ellen Allred | Social Worker | 128 N 100 W Ste 5, Price, UT 84501-2429 | 2020-10-19 |
| 1194298471 | Tamara Dawn Pantelakis | Social Worker | 375 S Carbon Ave Rm 129, Price, UT 84501-2909 | 2019-01-09 |
| 1306388574 | Alison Marrelli | Social Worker | 330 N 700 E, Price, UT 84501-2702 | 2016-11-04 |
| 1871046185 | Jan Thornton | Social Worker | 2420 S 190 E, Price, UT 84501-4581 | 2016-08-03 |
| 1235385006 | John Greg Cowan | Social Worker | 23 S Carbon Ave, Suite 10, Price, UT 84501-2852 | 2008-08-13 |
| 1609932300 | Mellie Faye Patterson | Social Worker | 23 South Carbon Ave Ste 10, Price, UT 84501 | 2006-12-28 |
| 1467517847 | Tiffany M Bloomer | Social Worker | 1289 W 350 N, Price, UT 84501-4112 | 2006-12-26 |
| 1023075801 | Ann L Prazza | Social Worker | 575 E 100 So, Price, UT 84501 | 2006-04-27 |
| 1275095473 | Christina Ann Bishop-kollar | Social Worker | 375 S Carbon Ave, Price, UT 84501-2909 | 2019-04-05 |
| 1710471594 | Internal Resolutions | Social Worker | 375 S Carbon Ave, Price, UT 84501-2909 | 2018-06-15 |
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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.