MS. AMANDA JAE GONZALEZ (NPI# 1942515317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942515317 |
| Entity Type | Individual |
| Full Name | MS. AMANDA JAE GONZALEZ |
| Credential | CSW |
| Practice Address |
6770 S 900 E Suite 105 Midvale UT 84047-1709 |
| Mailing Address |
2982 Metropolitan Way Salt Lake City UT 84109-2237 |
| Practice Telephone | 8013053171 |
| Mailing Telephone | 8015502507 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2015-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649536 | Amanda Alyssa Gonzalez | Nurse Practitioner | 3025 Masterson Dr, Corpus Christi, TX 78415-2410 | 2019-06-23 |
| 1902358112 | Amanda Marie Gonzalez | Non-emergency Medical Transport (VAN) | 3912 W 97th Pl, Westminster, CO 80031-2630 | 2016-11-04 |
| 1497101679 | Amanda Christina Gonzalez | Nurse Practitioner | 18626 Hardy Oak Blvd Ste 103, San Antonio, TX 78258-4219 | 2016-05-06 |
| 1760746671 | Amanda Michelle Gonzalez | Speech-Language Pathologist | 14121 Sw 17th St, Davie, FL 33325-5933 | 2012-06-26 |
| 1578566063 | Amanda W Gonzalez | Nurse Practitioner | 191 East Price Road, Brownsville, TX 78523-9988 | 2005-05-27 |
| 1558996231 | Amanda Gonzalez | Licensed Vocational Nurse | 1155 Dairy Ashford Rd Ste 560, Houston, TX 77079-3035 | 2020-03-03 |
| 1699321224 | Amanda Gonzalez | Nurse Practitioner | 3603 Paesanos Pkwy Ste 300, San Antonio, TX 78231-1270 | 2019-08-09 |
| 1225683790 | Amanda Gonzalez | Behavioral Analyst | 1496 W Mequon Rd, Mequon, WI 53092-3268 | 2019-08-01 |
| 1831657600 | Amanda Elizabeth Gonzalez | Licensed Vocational Nurse | 615 W Civic Center Dr, Santa Ana, CA 92701 | 2019-03-11 |
| 1871058248 | Amanda Gonzalez | Behavior Technician | 1100 S Main St # 8, Las Cruces, NM 88005-2917 | 2019-02-09 |
| Street Address |
6770 S 900 E SUITE 105 |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407216211 | Kalli Kronmiller | Counselor | 6770 S 900 E, Suite 105, Midvale, UT 84047-1709 | 2016-03-07 |
| 1275971640 | Wasatch Medical | Specialist | 6770 S 900 E, Ste 103, Midvale, UT 84047-1709 | 2013-06-07 |
| 1578802153 | Shelley Hardy | Marriage & Family Therapist | 6770 S 900 E, Midvale, UT 84047-1709 | 2013-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| 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 |
|---|---|---|---|---|
| 1417578238 | Brandy Boyer | Social Worker | 6 W Inglenook Dr Apt 107, Midvale, UT 84047-5304 | 2020-05-04 |
| 1093107633 | Edward Chase Peterson | Social Worker | 27 W Princeton Dr, Midvale, UT 84047-7513 | 2015-02-18 |
| 1023438132 | Kay Sue Simons | Social Worker | 356 E 6990 S, Midvale, UT 84047-1641 | 2014-04-16 |
| 1457781726 | Camille Kennard | Social Worker | 537 E Cobblestone Dr, Midvale, UT 84047-4602 | 2013-11-22 |
| 1831491950 | Robert B Justiniano | Social Worker | 7484 Maple St, Midvale, UT 84047-2035 | 2010-11-22 |
| 1558680074 | Natalie Harris | Social Worker | 204 Layne Dr, Midvale, UT 84047-2173 | 2010-05-24 |
| 1497988976 | Theresa Schubach | Social Worker | 562 E Fort Union Blvd, Midvale, UT 84047-2245 | 2009-08-31 |
| 1235284100 | Mary Alice Cunningham PC | Social Worker | 7971 Pioneer St, Midvale, UT 84047-7418 | 2007-01-23 |
| 1134208051 | Lewis Leland Boone | Social Worker | 954 E North Union Ave, B-204, Midvale, UT 84047-1765 | 2006-11-02 |
| 1437251220 | Laura Fay Schroeder | Social Worker | 81 East 7200 South, Midvale, UT 84047 | 2006-09-02 |
| Find all providers in MIDVALE | ||||
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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.