Individual ProviderAmy K DilworthSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5965 S 900 E, Murray, UT 84121-1720(801) 263-7138PECOS EnrollmentBased on the most recent information from CMS, provider Amy K Dilworth does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1841391422Provider TypeIndividualFull NameDilworth, Amy KCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date9/26/2006Last Updated1/26/2015Contact InformationPractice LocationPractice Address5965 S 900 E, Murray, UT 84121-1720Phone(801) 263-7138FaxUnlisted FaxMailing LocationMailing Address5965 S 900 E, Murray, UT 84121-1720Phone(801) 263-7138FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense8368695-3501UtahProvider IdentifiersIDDescriptionIssuerID000010150253DescriptionOtherIssuerREGENCE BLUE SHIELDIdahoIDL4942DescriptionOtherIssuerBLUE CROSS OF IDAHOIdaho