MICAH J BULLOCH (NPI# 1679082952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679082952 |
| Entity Type | Individual |
| Full Name | MICAH J BULLOCH |
| Credential | SSW |
| Practice Address |
245 E 680 S Cedar City UT 84720-3593 |
| Mailing Address |
474 W 200 N St George UT 84770-4505 |
| Practice Telephone | 4358677654 |
| Practice Fax Number | 4358677699 |
| Mailing Telephone | 4356345600 |
| Mailing Fax Number | 4359868700 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
UT | Behavioral Health & Social Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | UT | Other Service Providers |
| Street Address |
245 E 680 S |
| City | CEDAR CITY |
| State | UT |
| Zip Code | 84720-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821026378 | Jane G. Johnson | Social Worker | 245 E 680 S, Cedar City, UT 84720-3593 | 2006-06-30 |
| 1598380354 | Amanda Shepard | Counselor | 245 E 680 S, Cedar City, UT 84720-3593 | 2020-06-08 |
| 1619510732 | Kelsey Sanders | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2019-10-21 |
| 1639710767 | Alissa Danette Kovar | Counselor | 245 E 680 S, Cedar City, UT 84720-3593 | 2019-09-30 |
| 1003475666 | Kristin Kolle Taylor | Social Worker | 245 E 680 S, Cedar City, UT 84720-3593 | 2019-06-07 |
| 1992360507 | Michael Patrick Hourigan | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2019-05-08 |
| 1033772918 | Billie Jo Jergins Farnsworth | Social Worker | 245 E 680 S, Cedar City, UT 84720-3593 | 2019-04-17 |
| 1144781808 | James L Mortensen | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2019-03-26 |
| 1750841664 | Preston Kemp | Technician, Other | 245 E 680 S, Cedar City, UT 84720-3593 | 2019-03-25 |
| 1528527637 | Tyler Scott Tatton | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2019-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255907 | Todd Shakespeare | Pharmacist | 1330 S Providence, Cedar City, UT 84720 | 2020-11-02 |
| 1376165530 | Kirsten Leigh Graham | Psychologist | 351 W University Blvdgeneral Classrooms 308-o, General Classrooms 308-o, Cedar City, UT 84720 | 2020-05-11 |
| 1629556055 | Advanced Balance and Physical Therapy LLC | Clinic/Center | 856 Sage Dr Ste 301b, Cedar City, UT 84720 | 2018-07-28 |
| 1871012567 | Michael Angelo Dawson | Technician, Other | 245 E 680 N, Cedar City, UT 84720 | 2017-09-13 |
| 1114441441 | Asd Sleep LLC | Prosthetic/Orthotic Supplier | 1957 W Royal Hunte Dr, #250, Cedar City, UT 84720 | 2017-07-28 |
| 1073988077 | Southwest Utah Community Health Center | Clinic/Center | 245 East 680 South, Family Healthcare Center East Clinic, Cedar City, UT 84720 | 2015-12-02 |
| 1750710455 | Matthew Reiser | Psychologist | 136 West Center St, Southern Utah University Caps, Cedar City, UT 84720 | 2013-11-04 |
| 1619249471 | Debra Heath | Licensed Practical Nurse | 440 North Paiute Dr., Cedar, UT 84720 | 2012-02-08 |
| 1942591441 | Glendon Arly Pedersen | Technician, Health Information | 57 N. 200 E., Cedar City, UT 84720 | 2011-05-02 |
| 1457642407 | Cody Wayne Hutchings | Technician, Other | 54 North 200 East, Cedar City, UT 84720 | 2011-04-26 |
| Find all providers in zip 84720 | ||||
| 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 |
|---|---|---|---|---|
| 1689203770 | Joanne Woolsey | Social Worker | 535 S Main St Ste 5, Cedar City, UT 84720-3574 | 2020-04-02 |
| 1073149662 | Julee Loces | Social Worker | 2069 N Main St Ste 101, Cedar City, UT 84721-5675 | 2020-03-16 |
| 1083254403 | Whispering Fireflies Counseling Services, LLC | Social Worker | 66 W Harding Ave Ste C3, Cedar City, UT 84720-3091 | 2020-01-14 |
| 1487057584 | Kimberly Burnett | Social Worker | 660 N Airport Rd, Cedar City, UT 84721-8401 | 2014-10-02 |
| 1336560713 | John Michael Sauceda | Social Worker | 719 S 2475 W, Cedar City, UT 84720-1972 | 2014-01-02 |
| 1326474966 | Taylor Riley Johnson | Social Worker | 5138 N 2700 W, Cedar City, UT 84721-5597 | 2013-09-15 |
| 1699027458 | Paul S Arnold | Social Worker | 1760 N Main St Ste 103, Cedar City, UT 84721-7776 | 2012-10-03 |
| 1043523251 | Brent Hinton Judd | Social Worker | 775 S 1175 W, Cedar City, UT 84720-6600 | 2010-07-16 |
| 1942522982 | Robert Wayne Johnson | Social Worker | 245 S 900 W, Cedar City, UT 84720-3042 | 2010-02-18 |
| 1528399532 | Trisha Leigh Garcia-brown | Social Worker | 121 North 1550 West, Cedar City, UT 84720 | 2010-01-15 |
| Find all providers in CEDAR CITY | ||||
| City | CEDAR CITY |
| Zip Code | 84720 |
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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.