MRS. MARY AUDRIENE GALLEGOS (NPI# 1548561152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548561152 |
| Entity Type | Individual |
| Full Name | MRS. MARY AUDRIENE GALLEGOS |
| Other Name | MARY AUDRIENE FULLER |
| Credential | S.S.W. |
| Practice Address |
663 W 950 S Brigham City UT 84302-3021 |
| Practice Telephone | 4357349449 |
| Practice Fax Number | 4357234851 |
| Mailing Telephone | 4357349449 |
| Mailing Fax Number | 4357234851 |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 7544766-3503 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366732372 | Mary Temple Gallegos | Obstetrics & Gynecology | 201 Cedar Se Ste 507, Pmg Ob Hospitalist, Albuquerque, NM 87106-4925 | 2011-04-11 |
| 1982914172 | Mary Louise Gallegos | General Acute Care Hospital | 1205 W Us Highway 30, Suite A, Carroll, IA 51401-3364 | 2010-10-21 |
| 1619238367 | Mary Worrall Gallegos | Registered Nurse | 90 Via Juana Lane, C/o Santa Ynez Tribal Health Clinic, Santa Ynez, CA 93460 | 2012-05-30 |
| 1750696605 | Mary Lee Gallegos | Nurse Practitioner | 4001 N Cook St, Spokane, WA 99207-5879 | 2010-08-16 |
| 1164755252 | Mary Gallegos | Case Manager/Care Coordinator | 700 Friedman Ave, Las Vegas, NM 87701-4231 | 2009-09-08 |
| Street Address |
663 W 950 S |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386725174 | Kristin Aragon Springer | Counselor | 663 W 950 S, Brigham City, UT 84302-3021 | 2006-10-18 |
| 1609354547 | Michael Richard Nelson | Social Worker | 663 W 950 S, Brigham City, UT 84302 | 2018-08-02 |
| 1982106852 | Joan Rasmussen | Social Worker | 663 W 950 S, Brigham City, UT 84302-3021 | 2018-03-06 |
| 1154859221 | Bryan Kurt Rieben | Social Worker | 663 W 950 S, Brigham City, UT 84302-3021 | 2017-06-01 |
| 1598167488 | Tammy Ellis | Social Worker | 663 W 950 S, Brigham City, UT 84302-3021 | 2014-09-22 |
| 1124420567 | Brian Wigington | Counselor | 663 W 950 S, Brigham City, UT 84302-3021 | 2014-09-17 |
| 1336579358 | Aimee Theurer | Registered Nurse | 663 W 950 S, Brigham City, UT 84302-3021 | 2013-11-13 |
| 1033541578 | Trenna Breann Prete | Student in an Organized Health Care Education/Training Program | 663 W 950 S, Brigham City, UT 84302-3021 | 2013-08-07 |
| 1033460142 | Laura Ann Lamoreaux | Psychologist | 663 W 950 S, Brigham City, UT 84302-3021 | 2012-09-28 |
| 1447501838 | Jelana Fay Herring | Student in an Organized Health Care Education/Training Program | 663 W 950 S, Brigham City, UT 84302-3021 | 2012-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| 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 |
|---|---|---|---|---|
| 1609354547 | Michael Richard Nelson | Social Worker | 663 W 950 S, Brigham City, UT 84302 | 2018-08-02 |
| 1982106852 | Joan Rasmussen | Social Worker | 663 W 950 S, Brigham City, UT 84302-3021 | 2018-03-06 |
| 1689977803 | Janet Mitchell | Social Worker | 663 W 950 S, Brigham City, UT 84302-3021 | 2010-12-09 |
| 1366744005 | Camille Webb | Social Worker | 663 West 950 South, Brigham City, UT 84302 | 2010-12-01 |
| 1952603193 | Kathleen Richards Burt | Social Worker | 663 W 950 S, Brigham City, UT 84302-3021 | 2010-11-19 |
| 1912209289 | Britney A Tayler | Social Worker | 663 W 950 S, Brigham City, UT 84302-3021 | 2010-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787417 | Boluwaji Oladiran Akinlabi | Social Worker | 4052 W Pioneer Pkwy Ste 105, West Valley City, UT 84120-2064 | 2020-10-14 |
| 1023622362 | Daniel Jacob Martinez | Social Worker | 1165 W Brandonwood Dr, Murray, UT 84123-7910 | 2020-09-03 |
| 1801409651 | Chelsea Leovy Davenport | Social Worker | 1273 W 12600 S Suite 403, Riverton, UT 84065-8410 | 2020-08-30 |
| 1013528538 | David Lionel Purbaugh | Social Worker | 11075 S State St Bldg 32, Sandy, UT 84070-5164 | 2020-08-10 |
| 1558971192 | Thanuja Rajapakse | Social Worker | 13962 S Rockwell View Ln, Draper, UT 84020-9868 | 2020-08-07 |
| 1407466089 | Wasatch Back Venture Trail | Social Worker | 3585 N University Ave Ste 250, Provo, UT 84604-6622 | 2020-08-07 |
| 1912520495 | Ashley Jean Goebel | Social Worker | 40 W Cache Valley Blvd Ste 9b, Logan, UT 84341-8450 | 2020-05-19 |
| 1417579723 | Sungmin Kim | Social Worker | 3594 S 3610 E, Salt Lake City, UT 84109-3276 | 2020-05-08 |
| 1598386179 | Mackenzie Knight | Social Worker | 7625 S 3200 W Ste 2-4, West Jordan, UT 84084-2800 | 2020-05-05 |
| 1669093043 | Gabrielle M. Kouris | Social Worker | 2872 S Highland Dr Apt Suite, Salt Lake City, UT 84106-3147 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
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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.