KELLAND JAY BREWER (NPI# 1750869863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750869863 |
| Entity Type | Individual |
| Full Name | KELLAND JAY BREWER |
| Credential | CSW |
| Practice Address |
198 East Center Street Moab UT 84532 |
| Mailing Address |
Po Box 867 Price UT 84501-0867 |
| Practice Telephone | 4352596131 |
| Practice Fax Number | 4352595369 |
| Mailing Telephone | 4356377200 |
| Mailing Fax Number | 4356372377 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 10834446-3502 | UT | Behavioral Health & Social Service Providers |
| Street Address |
198 EAST CENTER STREET |
| City | MOAB |
| State | UT |
| Zip Code | 84532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043274160 | Gen Numaguchi | Psychologist | 198 East Center Street, Moab, UT 84532 | 2006-04-14 |
| 1952824740 | Aja Elizabeth Lyman | Social Worker | 198 East Center Street, Moab, UT 84532 | 2017-07-24 |
| 1245753441 | John Andreas Dahle | Counselor | 198 East Center Street, Moab, UT 84532 | 2017-07-19 |
| 1326561523 | Tara Lynn Wilder | Case Manager/Care Coordinator | 198 East Center Street, Moab, UT 84532 | 2017-07-19 |
| 1134668213 | Lauren Gwen Fuller | Licensed Practical Nurse | 198 East Center Street, Moab, UT 84532 | 2017-02-22 |
| 1861935223 | Emily Strom Davis | Case Manager/Care Coordinator | 198 East Center Street, Moab, UT 84532-0000 | 2016-12-02 |
| 1124573746 | Alicia Mae Cooper | Student in an Organized Health Care Education/Training Program | 198 East Center Street, Moab, UT 84532-0000 | 2016-08-24 |
| 1346694544 | Belinda Lou Hurst | Counselor | 198 East Center Street, Moab, UT 84532 | 2016-04-14 |
| 1366804122 | Robert Isadore Greenberg | Counselor | 198 East Center Street, Moab, UT 84532 | 2016-03-22 |
| 1184099780 | Quincy C Masur | Case Manager/Care Coordinator | 198 East Center Street, Moab, UT 84532-0387 | 2015-12-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254316 | Andrew Soliz II | Case Manager/Care Coordinator | 48 N Shields Lane, Moab, UT 84532 | 2020-08-04 |
| 1023655420 | William Douglas Wennell | Registered Nurse | 198 E. Center St., Moab, UT 84532 | 2019-12-04 |
| 1295219962 | Jordan Johnson | Case Manager/Care Coordinator | 48 N. Shields Lane, Moad, UT 84532 | 2018-09-19 |
| 1659851681 | Grand County Emergency Medical Services Special Service District | Ambulance | 520 E 100 N, Moab, UT 84532 | 2018-08-20 |
| 1265937072 | Byron Clifton Palmer | Dentist | 2700 Us-191, Suite 1, Moab, UT 84532 | 2018-03-26 |
| 1902290588 | Katherine O'reilly | Advanced Practice Midwife | 51 North Mt.peale, Moab, UT 84532 | 2015-03-23 |
| 1235548108 | Tiffany Lee Ann Van Sickle | Case Manager/Care Coordinator | 198 E Center St., Moab, UT 84532 | 2014-08-05 |
| 1881991701 | Canyonlands Health Care Special Service District | Nursing Facility/Intermediate Care Facility | 390 W Williams Way, Moab, UT 84532 | 2011-02-14 |
| 1518267459 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1105 South Highway Building 1, Moab, UT 84532 | 2010-10-26 |
| 1164694691 | Kenneth B Lindsay | Case Manager/Care Coordinator | 48 North Shields, Moab, UT 84532 | 2008-03-25 |
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| 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 |
|---|---|---|---|---|
| 1114537149 | Michelle Saggboy | Social Worker | 198 E Center St, Moab, UT 84532-2430 | 2020-08-04 |
| 1952824740 | Aja Elizabeth Lyman | Social Worker | 198 East Center Street, Moab, UT 84532 | 2017-07-24 |
| 1710365838 | Daren Glen Parker | Social Worker | 198 East Center Street, Moab, UT 84532-0000 | 2015-05-08 |
| 1710256904 | Sarah Bauman | Social Worker | 198 East Center Street, Moab, UT 84532-2430 | 2011-12-19 |
| 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 |
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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.