MS. KATHLEEN MARY FORSMAN (NPI# 1942416870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942416870 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN MARY FORSMAN |
| Credential | QMRP |
| Practice Address |
3355 W 440 S Vernal UT 84078-8968 |
| Practice Telephone | 4357897077 |
| Practice Fax Number | 4357897077 |
| Mailing Telephone | 4357897077 |
| Mailing Fax Number | 4357897077 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | ENTITY NUMBER | 6267566-0160 | 01 |
| Street Address |
3355 W 440 S |
| City | VERNAL |
| State | UT |
| Zip Code | 84078-8968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479748 | Wade Oliver Moulton | Pharmacist | 1080 W Hwy 40, Vernal, UT 84078 | 2019-10-28 |
| 1841610383 | Allegiance Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 4430 N Little Valley Road, Vernal, UT 84078 | 2014-04-23 |
| 1689008773 | Ashley Valley Physician Practice, LLC | Occupational Therapist | 1680 W Highway 40 Ste 202, Vernal, UT 84078 | 2013-08-26 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1265754840 | Marjorie Elaine Gardner | Licensed Practical Nurse | 133 S 500 East, Vernal, UT 84078 | 2010-02-23 |
| 1528205853 | Robert Kirkham Jolley | Dentist | 40 West 100 North, Vernal, UT 84078 | 2009-01-08 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
| Find all providers in zip 84078 | ||||
| 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 |
|---|---|---|---|---|
| 1184285819 | Alisha Gowen | Social Worker | 185 N Vernal Ave Ste 1, Vernal, UT 84078-2100 | 2019-06-24 |
| 1225698517 | Kandice Searle | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-06-18 |
| 1659931921 | Desree Allred | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-06-18 |
| 1023678323 | Heather Elise Barnes | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2019-06-18 |
| 1184047482 | Jessica Briggs | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078-2912 | 2014-01-23 |
| 1588904049 | Tiara Littledyke | Social Worker | 1140 W 500 S Ste 9, Vernal, UT 84078 | 2013-02-20 |
| 1538315858 | Rhonda Kamai-kekela | Social Worker | 38 E 100 N Ste B, Vernal, UT 84078-2122 | 2008-08-18 |
| 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 | ||||
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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.