MRS. AMANDA GRAY (NPI# 1700398237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700398237 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA GRAY |
| Credential | CSW |
| Practice Address |
1204 W South Jordan Pkwy Ste B South Jordan UT 84095-4612 |
| Mailing Address |
1408 W 10250 S South Jordan UT 84095-8844 |
| Practice Telephone | 8013023801 |
| Practice Fax Number | 8013027248 |
| Mailing Telephone | 8016641089 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
10383610-3502 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486901 | Amanda Nicole Gray | Psychologist | 6401 Eldorado Pkwy Ste 335, Mckinney, TX 75070-6520 | 2020-08-03 |
| 1023528791 | Amanda Breaux Gray | Social Worker | 1940 Laura Cir, Twin Falls, ID 83301-7009 | 2017-10-06 |
| 1023630811 | Amanda Gray | Behavior Technician | 2474 E Joyce Blvd Ste 2, Fayetteville, AR 72703-4932 | 2020-05-14 |
| 1588214266 | Amanda Gray | Counselor | 700 Childrens Dr, Columbus, OH 43205-2639 | 2019-09-16 |
| 1588168801 | Amanda Alice Gray | Dental Hygienist | 671 Sw Main St, Winston, OR 97496-6571 | 2018-03-21 |
| 1083116917 | Amanda Gray | Nurse Practitioner | 125 W Church St, Lexington, TN 38351-2011 | 2018-03-07 |
| 1982131678 | Amanda Lynn Gray | Behavior Technician | 11411 Nw 56th Dr, Coral Springs, FL 33076-3122 | 2017-05-12 |
| 1093240186 | Amanda Ellen Forbes Gray | Nurse Practitioner | 26 Bleecker St, New York, NY 10012-2413 | 2017-04-26 |
| 1548703978 | Amanda Gray | Rehabilitation Practitioner | 1576 Merritt Blvd Ste 7, Dundalk, MD 21222-2114 | 2016-12-03 |
| 1245635291 | Amanda Malone Gray | Physician Assistant | 1265 Union Ave, Emergency Department, Memphis, TN 38104-3415 | 2014-11-01 |
| Street Address |
1204 W SOUTH JORDAN PKWY STE B |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| 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 |
|---|---|---|---|---|
| 1366066227 | Julie Jenee Miller | Social Worker | 873 W Baxter Dr, South Jordan, UT 84095-8506 | 2020-06-05 |
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1720614258 | Karen Pendleton | Social Worker | 1206 W S Jordan Pkwy, South Jordan, UT 84095-5511 | 2020-03-16 |
| 1922669274 | Lora Elizabeth Bonham | Social Worker | 2776 W Lizzi Cv, South Jordan, UT 84095-7961 | 2019-06-27 |
| 1356823249 | Payton Joy Pola | Social Worker | 1108 W S Jordan Pkwy Ste B, South Jordan, UT 84095-5505 | 2018-09-06 |
| 1740732916 | Hannah Weingarten | Social Worker | 10486 S Sage Vista Way, South Jordan, UT 84009-3955 | 2016-11-03 |
| 1093260556 | Heather Shelline | Social Worker | 9550 S Kilmuir Cir, South Jordan, UT 84009-9704 | 2016-08-24 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1700242450 | Viridiana Zendejas | Social Worker | 1108 W South Jordan Pkwy, Suite C, South Jordan, UT 84095-5504 | 2016-01-11 |
| 1952718637 | Tori M Yeates | Social Worker | 11482 S Rainstone Ct, South Jordan, UT 84095-4803 | 2014-07-15 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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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.