Lake, Rickie Inez Berrett
Lake, Rickie Inez Berrett is an individual health care provider with primary practice located at 5965 S 900 E , Salt Lake City UT 84121-1720. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lake, Rickie Inez Berrett can be contacted via phone (801) 263-7225.Contact Information
Primary practice address
5965 S 900 E
Salt Lake City UT 84121-1720
Phone: (801) 263-7225
Fax: (801) 263-7279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 139965-3501 | Utah |
Profile Details
| NPI number | 1942271028 |
|---|---|
| LBN Legal business name | Lake, Rickie Inez Berrett |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Nov 19th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942271028 | NPPES |
| Utah | Other | 262030 | DESERT MUTUAL |
| Utah | Other | 942938348 | DESERT MUTUAL |
| Utah | Other | 942938348LA1 | DESERT MUTUAL |
| Utah | Other | 107001381101 | DESERT MUTUAL |
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