Provider Demographics
NPI:1235261926
Name:DANIELS, ARTHUR GREGSON (LCSW)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:GREGSON
Last Name:DANIELS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 W PRICE RIVER DR
Mailing Address - Street 2:
Mailing Address - City:PRICE
Mailing Address - State:UT
Mailing Address - Zip Code:84501-2839
Mailing Address - Country:US
Mailing Address - Phone:435-637-2991
Mailing Address - Fax:435-637-1775
Practice Address - Street 1:630 W PRICE RIVER DR
Practice Address - Street 2:
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-2839
Practice Address - Country:US
Practice Address - Phone:435-637-2991
Practice Address - Fax:435-637-1775
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT26691335011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical