Provider Demographics
NPI:1114126406
Name:WINGET, YONNA MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:YONNA
Middle Name:MARIE
Last Name:WINGET
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 N MAIN ST STE G
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84701-2142
Mailing Address - Country:US
Mailing Address - Phone:435-896-9200
Mailing Address - Fax:435-896-8101
Practice Address - Street 1:108 N MAIN ST STE G
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84701-2142
Practice Address - Country:US
Practice Address - Phone:435-896-9200
Practice Address - Fax:435-896-8101
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT788007788028Medicaid
UTR61187Medicare UPIN