NPI 1053003582 · live from the CMS NPI Registry
Steven John Andersen, LCSW
Social Worker, Clinical in Orem, UT. National Provider Identifier 1053003582, active.
NPI record
| NPI | 1053003582 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 856 E 1810 N, Orem, UT 84097 |
| Practice phone | 801-636-2100 |
| Enumerated | May 23, 2023 |
| Last updated | May 23, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 137622-3501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.