Breanna Summer Powell
Breanna Summer Powell is a Clinical Social Worker in Orem, Utah. Qualified in 2020, 6 years ago. Practices with Shane D Gagon MD, PC, a 9-clinician group and accepts Medicare assignment.
- Years since qualifying
- 6
- In the registry since
- 2012
Practice location Address checks out
921 N 1240 EOrem, UT 84097-2703
Phone: (435) 650-1931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1356617666 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 30, 2012 |
| Last updated in NPPES | March 30, 2012 |
| Mailing address | 921 N 1240 E, Orem, UT 84097-2703 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Shane D Gagon Md, Pc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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