Look up the most recent NPI and PECOS records

Joseph Ulrich

Social Worker

Behavioral Health & Social Service Providers

6707 S 1300 E, Salt Lake City, UT 84121-2718

PECOS Enrollment

Based on the most recent information from CMS, provider Joseph Ulrich does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1043641806
Provider Type
Individual
Full Name
Ulrich, Joseph
Credential
MSW, LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
12/4/2013
Last Updated
9/30/2015

Contact Information

Practice Location

6707 S 1300 E, Salt Lake City, UT 84121-2718

(801) 662-9308

Unlisted Fax

Mailing Location

6707 S 1300 E, Salt Lake City, UT 84121-2718

(801) 662-9308

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer Utah
Code 103K00000X	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer Utah

Joseph Ulrich

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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