Provider Demographics
NPI:1073838066
Name:BEILER, LORITA L (MSW, CSW, ACSW)
Entity Type:Individual
Prefix:
First Name:LORITA
Middle Name:L
Last Name:BEILER
Suffix:
Gender:F
Credentials:MSW, CSW, ACSW
Other - Prefix:
Other - First Name:LORITA
Other - Middle Name:BEILER
Other - Last Name:DAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, CSW, ACSW
Mailing Address - Street 1:566 WILD WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:FRANCIS
Mailing Address - State:UT
Mailing Address - Zip Code:84036-9215
Mailing Address - Country:US
Mailing Address - Phone:435-783-6416
Mailing Address - Fax:
Practice Address - Street 1:24 S 600 E
Practice Address - Street 2:SUITE 24
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1017
Practice Address - Country:US
Practice Address - Phone:801-599-6396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7232504-3502104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker