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NPI 1023678323

NPI 1023678323 : HEATHER ELISE BARNES MSW, LICSW : VERNAL, UT

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General NPI Number Information
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    NPI Number           |    1023678323
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER ELISE BARNES MSW, LICSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/18/2019
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    Last Update Date     |    07/30/2025
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Provider Practice Location Address
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    Address Line         |    139 E 1150 S 
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    City                 |    VERNAL
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    State                |    UT
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    Zip                  |    84078-4754
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    Country              |    US
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    Telephone            |    435-359-3939
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    139 E 1150 S 
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    City                 |    VERNAL
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    State                |    UT
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    Zip                  |    84078-4754
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    Country              |    US
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    Telephone            |    435-789-6300
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    11907595-3501
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    License Number State |    UT
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    ISW04490
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    License Number State |    RI
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