LAURA SUE GUDMUNDSON (NPI# 1447869276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447869276 |
Entity Type | Individual |
Full Name | LAURA SUE GUDMUNDSON |
Credential | CSW |
Practice Address |
2655 S Lake Erie Dr Ste B West Valley UT 84120-7351 |
Practice Telephone | 8014407879 |
Mailing Telephone | 8014407879 |
Enumeration Date | 2020-07-28 |
Last Update Date | 2020-07-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041S0200X |
Social Worker Specialization: School |
5532544-3506 | UT | Behavioral Health & Social Service Providers |
Street Address |
2655 S LAKE ERIE DR STE B |
City | WEST VALLEY |
State | UT |
Zip Code | 84120-7351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033720230 | Mauri Hansen | Social Worker | 2655 S Lake Erie Dr Ste B, West Valley, UT 84120-7351 | 2020-08-11 |
1083233506 | Stephanie Tayler Lobrot | Counselor | 2655 S Lake Erie Dr Ste B, West Valley, UT 84120-7351 | 2020-04-14 |
1235774449 | Katherine Steenblik | Social Worker | 2655 S Lake Erie Dr Ste B, West Valley, UT 84120-7351 | 2019-11-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
Find all providers in zip 84120 |
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 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1043790991 | Stephanie Wright | Social Worker | 151 S University Ave Ste 1400, Provo, UT 84601-4427 | 2018-08-20 |
1730612367 | Andrea Draudt | Social Worker | 396 Foxmoor Dr, Orem, UT 84057-3875 | 2017-04-10 |
1003367871 | Shanell Tuitele | Social Worker | 777 W 200 S, Provo, UT 84601-4061 | 2016-10-17 |
1154773562 | Emily Nielsen | Social Worker | 1246 N 100 W, American Fork, UT 84003-2708 | 2016-07-08 |
1104278969 | Jennifer Foy | Social Worker | 46 W 300 S, Springville, UT 84663-1329 | 2016-07-05 |
1073962924 | Orlando Avila | Social Worker | 7987 W Maia Cir, Magna, UT 84044-4406 | 2016-06-10 |
1972950145 | Stacie Jacobson | Social Worker | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2016-05-18 |
1205296266 | Sterling Sims | Social Worker | 1960 N Canyon Rd, Provo, UT 84604-1611 | 2016-03-02 |
Find all providers with the same taxonomy |
City | WEST VALLEY |
Zip Code | 84120 |
Please comment or provide details below to improve the information on LAURA SUE GUDMUNDSON.
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.