Healthcare Provider Details
I. General information
NPI: 1518131721
Provider Name (Legal Business Name): AMY JONES CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/17/2008
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 N HOSPITAL DR
PRICE UT
84501-4218
US
IV. Provider business mailing address
300 N HOSPITAL DR
PRICE UT
84501-4218
US
V. Phone/Fax
- Phone: 435-650-4194
- Fax:
- Phone: 435-650-4194
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282NR1301X |
| Taxonomy | Rural Acute Care Hospital |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 11207807-3502 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: