MEDICARE: MARY BETH WHITTAKER 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	1041C0700X	Clinical Social Worker	130283-3501	UT

General Provider Information

NPI Number	:	1538538525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARY BETH WHITTAKER LCSW

Provider Business Mailing Address
First Line	:	2290 E 4500 S
Second Line	:	SUITE 210
City	:	HOLLADAY
State	:	UT
Zip	:	84117-4492
Country	:	US
Telephone Number	:	801-272-3533
Fax Number	:	801-272-3636

Provider Business Practice Location Address
First Line	:	2290 E 4500 S
Second Line	:	SUITE 210
City	:	HOLLADAY
State	:	UT
Zip	:	84117-4492
Country	:	US
Telephone Number	:	801-272-3533
Fax Number	:	801-272-3636

Authorized Official
Title or Position	:	OWNER
Name	:	MARY BETH WHITTAKER
Credential	:	LCSW
Telephone Number	:	801-272-3533

Provider Enumeration Date	:	09/19/2015
Last Update Date	:	09/19/2015

Similar Medicare Providers

1437149838 — DR. KATY L O'BANION PH.D.
Practice Location Address:

2290 E 4500 S , SUITE 100
HOLLADAY, UT
84117-4492

Practice Phone: 801-272-0390
Practice Fax: 801-272-0118

1821026923 — NELLIE M ARRIETA L. C.S.W.
Practice Location Address:

2290 E 4500 S , SUITE 110
HOLLADAY, UT
84117-4492

Practice Phone: 801-652-8813
Practice Fax: 801-415-9525

1538412267 — MRS. MARIA SAGRARIO CORDERO MS, L.AC
Practice Location Address:

2290 E 4500 S , SUITE 110
HOLLADAY, UT
84117-4492

Practice Phone: 801-673-6795
Practice Fax:

1578505251 — DR. JOHN FRANCIS MERRYWEATHER PH.D.
Practice Location Address:

2290 E 4500 S , SUITE 100
SALT LAKE CITY, UT
84117-4492

Practice Phone: 801-272-0394
Practice Fax: 801-272-0118

1154464741 — MERRYWEATHER-O'BANION PSYCHOLOGISTS, P.C.
Practice Location Address:

2290 E 4500 S , SUITE 100
SALT LAKE CITY, UT
84117-4492

Practice Phone: 801-272-0394
Practice Fax: 801-272-0118

1750535787 — BILL FULTON LCSW PC
Practice Location Address:

2290 E 4500 S , SUITE 230
SALT LAKE CITY, UT
84117-4492

Practice Phone: 801-278-2298
Practice Fax:

Directions to “MARY BETH WHITTAKER 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 © 2007-2025 (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.