DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MADELEINE PUGMIRE LCSW

MEDICARE: MADELEINE PUGMIRE 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
11041C0700XClinical Social Worker11772158-3506UT
21041C0700XClinical Social Worker11772158-3501UT

General Provider Information

NPI Number : 1992328496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELEINE PUGMIRE LCSW
Provider Business Mailing Address
First Line : 95 GOLF COURSE RD STE 105
Second Line :
City : LOGAN
State : UT
Zip : 84321-5990
Country : US
Telephone Number : 435-915-6398
Fax Number :
Provider Business Practice Location Address
First Line : 95 GOLF COURSE RD STE 105
Second Line :
City : LOGAN
State : UT
Zip : 84321-5990
Country : US
Telephone Number : 435-915-6398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2020
Last Update Date : 03/07/2024

Similar Medicare Providers

1205783354 — HEATHER E OLSEN LCSW LLC
Practice Location Address:
95 GOLF COURSE RD STE 106
LOGAN, UT
84321-5990
Practice Phone: 435-213-1023
Practice Fax:
1487496675 — JULIA PETERSON CSW
Practice Location Address:
95 GOLF COURSE RD STE 105
LOGAN, UT
84321-5990
Practice Phone: 435-915-6398
Practice Fax:
1013340801 — DR. CARLY D. L. LEBARON PH.D., LMFT
Practice Location Address:
95 GOLF COURSE RD STE 105
LOGAN, UT
84321-5990
Practice Phone: 435-915-6398
Practice Fax:
1154943306 — AMANDA CROSLAND
Practice Location Address:
95 GOLF COURSE RD STE 105
LOGAN, UT
84321-5990
Practice Phone: 435-915-6398
Practice Fax:
1558129221 — EMBRACING AUTHENTICITY INC
Practice Location Address:
95 GOLF COURSE RD STE 105
LOGAN, UT
84321-5990
Practice Phone: 435-915-6398
Practice Fax:
1215750583 — HANNA CONN MA
Practice Location Address:
95 GOLF COURSE RD STE 105
LOGAN, UT
84321-5990
Practice Phone: 435-915-6398
Practice Fax:

Directions to “ MADELEINE PUGMIRE 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.