Provider Demographics
NPI:1225206170
Name:GARFIELD, JASON (CSW, LMSW)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:GARFIELD
Suffix:
Gender:M
Credentials:CSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 CREEKSIDE CIR APT E
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-6334
Mailing Address - Country:US
Mailing Address - Phone:801-633-4899
Mailing Address - Fax:
Practice Address - Street 1:1588 MAJOR ST
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-1631
Practice Address - Country:US
Practice Address - Phone:801-467-6060
Practice Address - Fax:801-486-3007
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0733361041C0700X
UT6597778-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical