MEDICARE: EARL M. CAMMACK JR. MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	269749-3501	UT

General Provider Information

NPI Number	:	1437398427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EARL M. CAMMACK JR. MSW, LCSW

Provider Business Mailing Address
First Line	:	4484 S. 1900 WEST
Second Line	:	SUITE 6
City	:	ROY
State	:	UT
Zip	:	84067
Country	:	US
Telephone Number	:	801-732-1222
Fax Number	:	801-732-1222

Provider Business Practice Location Address
First Line	:	4484 SO. 1900 WEST
Second Line	:	SUITE 6
City	:	ROY
State	:	UT
Zip	:	84067
Country	:	US
Telephone Number	:	801-732-1222
Fax Number	:	801-689-7199

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2009
Last Update Date	:	02/13/2009

Similar Medicare Providers

1083569396 — BRIGHTSIDE ORAL SURGERY LLC
Practice Location Address:

5682 S 3500 W UNIT A
ROY, UT
84067-9108

Practice Phone: 801-773-9828
Practice Fax: 801-773-9828

1154326429 — DR. WAYNE ROBERT KOTTER DPM
Practice Location Address:

5320 S 1950 W
ROY, UT
84067-2402

Practice Phone: 801-773-6565
Practice Fax: 801-774-6967

1548254345 — DR. JONATHAN FIFE RICHARDS D.D.S., M.S.
Practice Location Address:

5991 S 3500 W , SUITE 200
ROY, UT
84067-6701

Practice Phone: 801-779-2700
Practice Fax:

1336136977 — JOHN G ALLRED DO
Practice Location Address:

3485 W 5200 S
ROY, UT
84067-9438

Practice Phone: 801-475-3900
Practice Fax: 801-475-3901

1134116783 — KELLY R AMANN DO
Practice Location Address:

3485 W 5200 S
ROY, UT
84067-9438

Practice Phone: 801-475-3900
Practice Fax: 801-475-3901

1629066675 — NATHAN S GOFF PT-MDT
Practice Location Address:

3485 W 5200 S
ROY, UT
84067-9438

Practice Phone: 801-475-3900
Practice Fax: 801-475-3901

1114915170 — RODNEY K GROGAN PA-C
Practice Location Address:

3485 W 5200 S
ROY, UT
84067-9438

Practice Phone: 801-475-3900
Practice Fax: 801-475-3901

Directions to “ EARL M. CAMMACK JR. MSW, LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.