Provider Demographics
NPI:1043237860
Name:GLOSHEN, TONYA SUE (LCSW, LSUDC)
Entity Type:Individual
Prefix:MS
First Name:TONYA
Middle Name:SUE
Last Name:GLOSHEN
Suffix:
Gender:F
Credentials:LCSW, LSUDC
Other - Prefix:MRS
Other - First Name:TONYA
Other - Middle Name:SUE
Other - Last Name:MATTHEWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LSUDC
Mailing Address - Street 1:1347 E. ROSEWOOD LANE
Mailing Address - Street 2:#21
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040
Mailing Address - Country:US
Mailing Address - Phone:801-556-8080
Mailing Address - Fax:
Practice Address - Street 1:1347 E. ROSEWOOD LANE
Practice Address - Street 2:#21
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84040
Practice Address - Country:US
Practice Address - Phone:801-556-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT278343-6006101YA0400X
UT27839335011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT870430116009Medicaid