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Breanna Summer Powell

NPI 1356617666ActiveIndividual· Social Worker· Orem, UT

Social Worker with Shane D Gagon MD, PC, practicing in Orem, Utah. Enrolled in Medicare as practitioner - clinical social worker.

Overview

NPI1356617666
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 30, 2012
Last updated in NPPESMar 30, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker Primary104100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (UT)

Medicare sources and data years

Education and affiliations

Graduation year2020
Medicare specialtyClinical Social Worker

Medical group

Source: CMS Care Compare

Other Social Worker providers in Orem

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