Whitehead-Sampinos, Heather Anna
Whitehead-Sampinos, Heather Anna is an individual health care provider with primary practice located at 2500 S State St , South Salt Lake UT 84115-3164. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Whitehead-Sampinos, Heather Anna can be contacted via phone (385) 646-0569.Contact Information
Primary practice address
2500 S State St
South Salt Lake UT 84115-3164
Phone: (385) 646-0569
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 128651-3501 | Utah |
Behavioral Health & Social Service Providers / School | 1041S0200X | 128651-3501 | Utah |
Profile Details
NPI number | 1356301154 |
---|---|
LBN Legal business name | Whitehead-Sampinos, Heather Anna |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | May 24th, 2022 - about 2 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 | 1356301154 | NPPES |
Utah | Other | 12865135000001 | BLUE CROSS |
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