Lake, Rickie Inez Berrett

Lake, Rickie Inez Berrett is an individual health care provider with primary practice located at 5965 S 900 E , Salt Lake City UT 84121-1720. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lake, Rickie Inez Berrett can be contacted via phone (801) 263-7225.

Contact Information

Primary practice address
5965 S 900 E Salt Lake City UT 84121-1720
Phone: (801) 263-7225
Fax: (801) 263-7279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 139965-3501 Utah

Profile Details

NPI number 1942271028
LBN Legal business name Lake, Rickie Inez Berrett
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Nov 19th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942271028 NPPES
Utah Other 262030 DESERT MUTUAL
Utah Other 942938348 DESERT MUTUAL
Utah Other 942938348LA1 DESERT MUTUAL
Utah Other 107001381101 DESERT MUTUAL

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