Brent Carman Pace in Salt Lake City - Clinical
Brent Carman Pace - NPI 1285605204
Brent Carman Pace is a Clinical in Salt Lake City, Utah. Brent Carman Pace practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brent Carman Pace is 1285605204. The last update date is 2022-12-08.
Brent Carman Pace's current location address is 1164 E 1st Ave, Salt Lake City, Utah. You can contact this provider via phone number 8015996279. The mailing address for Brent Carman Pace is 1164 E 1st Ave, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Carman Pace |
|---|---|
| Address | 1164 E 1st Ave, Salt Lake City, Utah |
| Phone Number | 8015996279 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1285605204 |
|---|---|
| Provider Enumeration Date | 2006-01-28 |
| Last Updated Date | 2022-12-08 |
Provider Mailing Address Detail
| Address | 1164 E 1st Ave |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841034108 |
| Phone Number | 8015996279 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3287263501 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32872635000001 | UT | BLUE CROSS |
Post Comment/ Review Below
Could you provide the complete address where Brent Carman Pace is physically located?
The Brent Carman Pace is situated at the following address: 1164 E 1St Ave, Salt Lake City, UT 841034108.
Could you please share the complete physical location address where Brent Carman Pace's facilities are situated?
The facilities of Brent Carman Pace are physically located at the following address: 1164 E 1St Ave, Salt Lake City, UT, 841034108.
What is Brent Carman Pace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brent Carman Pace is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date was the 1285605204 assigned to Brent Carman Pace?
The Brent Carman Pace was issued its 1285605204 on 2006-01-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Brent Carman Pace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brent Carman Pace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-12-08.