MEDICARE: MS. PATRICIA RUTH DEYOUNG CSW

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	1025453502	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1025453502	OTHER	UT	CSW LICENSE

General Provider Information

NPI Number	:	1376572149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA RUTH DEYOUNG CSW

Provider Business Mailing Address
First Line	:	3232 S 1575 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-3355
Country	:	US
Telephone Number	:	801-755-0928
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 LAKE ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84105-3119
Country	:	US
Telephone Number	:	801-487-7778
Fax Number	:

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

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1730473786 — FAMILY SUPPORT CENTER
Practice Location Address:

2020 LAKE ST
SALT LAKE CITY, UT
84105-3119

Practice Phone: 801-487-7778
Practice Fax: 801-487-2942

1588089049 — REBECCA CHRISTENSEN FAIRBANKS LCSW
Practice Location Address:

2020 S LAKE ST
SALT LAKE CITY, UT
84105-3119

Practice Phone: 801-487-7778
Practice Fax: 435-652-6354

1992112841 — ELISA LEARY
Practice Location Address:

2020 S LAKE ST
SALT LAKE CITY, UT
84105-3119

Practice Phone: 801-487-7778
Practice Fax: 801-487-2942

1760724181 — CAROLYN STEVENS LMT, BSC
Practice Location Address:

1961 E REDONDO AVE
SALT LAKE CITY, UT
84108-3119

Practice Phone: 435-655-1703
Practice Fax:

1295335404 — DR. IDA NOURBAKHSH DDS
Practice Location Address:

1947 E REDONDO AVE
SALT LAKE CITY, UT
84108-3119

Practice Phone: 801-641-1537
Practice Fax:

1053369470 — VERICARE, P.C.
Practice Location Address:

1410 E SANDY LAKE RD
COPPELL, TX
75019-3119

Practice Phone: 800-257-8715
Practice Fax: 800-819-1655

Directions to “ MS. PATRICIA RUTH DEYOUNG CSW” 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.