Kelley Diane Irmen
Clinical Social Worker
934 S Main St
Layton
, Utah 84041-7135
Kelley Diane Irmen
Clinical Social Worker
934 S Main St
Layton
, Utah 84041-7135
(801) 773-7060
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Kelley Diane Irmen
- 934 S Main St
- Layton, UT
- Zip : 84041-7135
- Phone : (801) 773-7060
Second Address
- Kelley Diane Irmen
- 934 S Main St
- Layton, UT
- Zip : 84041-7135
- Phone : (801) 773-7060
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 10074151-3502 | UT |
National Provider Identifier
| NPI | 1003268335 |
|---|---|
| Provider Name | Kelley Diane Irmen |
| First Address | Layton, UT 84041-7135 |
| Second Address | Layton, UT 84041-7135 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2016 |
| Last Update Date | 26/02/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.