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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356301154 NPPES
Utah Other 12865135000001 BLUE CROSS

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