ELISHA NICHOLE BETANCOURT (NPI# 1659887222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659887222 |
| Entity Type | Individual |
| Full Name | ELISHA NICHOLE BETANCOURT |
| Credential | CSW |
| Practice Address |
7625 S 3200 W Ste 2 West Jordan UT 84084-2887 |
| Mailing Address |
603 S 1300 W Salt Lake City UT 84104-2628 |
| Practice Telephone | 8019150359 |
| Mailing Telephone | 9095590533 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 10518360-3502 | UT | Behavioral Health & Social Service Providers |
| Street Address |
7625 S 3200 W STE 2 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84084-2887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174135347 | Eric Allen Pribyl | Counselor | 7625 S 3200 W Ste 2, West Jordan, UT 84084-2887 | 2020-08-19 |
| 1538785894 | Jocelyne Lopez | Case Manager/Care Coordinator | 7625 S 3200 W Ste 2, West Jordan, UT 84084-2887 | 2020-06-23 |
| 1922629450 | Mario Vazquez | Peer Specialist | 7625 S 3200 W Ste 2, West Jordan, UT 84084-2887 | 2020-05-06 |
| 1295392561 | Claudia L Gonzalez | Case Manager/Care Coordinator | 7625 S 3200 W Ste 2, West Jordan, UT 84084-2887 | 2019-05-22 |
| 1952968232 | Joanna Mclane Onorato | Social Worker | 7625 S 3200 W Ste 2, West Jordan, UT 84084-2887 | 2019-05-22 |
| 1295206852 | Gina Toledo | Social Worker | 7625 S 3200 W Ste 2, West Jordan, UT 84084-2887 | 2018-12-07 |
| 1275004962 | Azucena Langston | Social Worker | 7625 S 3200 W Ste 2, West Jordan, UT 84084-2887 | 2018-12-06 |
| 1093201923 | Christina Martinez Da Costa | Social Worker | 7625 S 3200 W Ste 2, West Jordan, UT 84084-2887 | 2018-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
| 1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
| 1952809873 | David D. Allred Counseling & Consulting, LLC | Marriage & Family Therapist | 1365 W Green Hedge Way, West Jordan, UT 84084 | 2018-01-25 |
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1245787829 | Josh Sullivan | Social Worker | 7395 S Paddington Rd, West Jordan, UT 84084 | 2016-09-01 |
| 1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
| 1437595030 | Medico Transport System | Ambulance | 7365 S 4570 W, South Jordan, UT 84084 | 2013-05-22 |
| 1659612737 | Lifecare Specialty | Pharmacy | 1646 Sunrise Place Ste B, West Jordan, UT 84084 | 2013-03-14 |
| 1518217942 | Luciane Lopes De Oliveira | Student in an Organized Health Care Education/Training Program | 7601 Redwood Road, West Jordan, UT 84084 | 2012-09-13 |
| 1023368636 | Chelsey Tautkus | Social Worker | 7601 South Redwood Road, Building E, West Jordan, UT 84084 | 2012-09-12 |
| Find all providers in zip 84084 | ||||
| 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 |
|---|---|---|---|---|
| 1598386179 | Mackenzie Knight | Social Worker | 7625 S 3200 W Ste 2-4, West Jordan, UT 84084-2800 | 2020-05-05 |
| 1629544184 | Ashley Lynn Arata | Social Worker | 7601 S Redwood Rd # Buldinge, West Jordan, UT 84084-4007 | 2018-10-22 |
| 1891296349 | Stuart Michael Ledbetter | Social Worker | 8781 S Redwood Rd Bldg 3, West Jordan, UT 84088-9204 | 2018-02-21 |
| 1245787829 | Josh Sullivan | Social Worker | 7395 S Paddington Rd, West Jordan, UT 84084 | 2016-09-01 |
| 1659731453 | Tiffany Mcgilvery | Social Worker | 6172 W 7000 S, West Jordan, UT 84081 | 2016-03-07 |
| 1396081303 | Tamra Monique Parko | Social Worker | 5134 Ticklegrass Rd, West Jordan, UT 84081 | 2012-12-19 |
| 1730480708 | Andrea Lynne Strode | Social Worker | 9287 S Redwood Rd Ste A, West Jordan, UT 84088-5587 | 2010-11-08 |
| 1649582750 | Emilie Cassan Havili | Social Worker | 8831 S Redwood Rd, Ste. D-4, West Jordan, UT 84088-9283 | 2010-07-06 |
| 1053954628 | Jared Barker | Social Worker | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2019-10-25 |
| 1275004962 | Azucena Langston | Social Worker | 7625 S 3200 W Ste 2, West Jordan, UT 84084-2887 | 2018-12-06 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84084 |
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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.