Provider Demographics
NPI:1407835218
Name:ASPER, WILLIAM ROBERT (LCSW)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ROBERT
Last Name:ASPER
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 1:3665 BUCKEROO DR
Mailing Address - Street 2:
Mailing Address - City:MAGNA
Mailing Address - State:UT
Mailing Address - Zip Code:84044-2344
Mailing Address - Country:US
Mailing Address - Phone:801-252-1861
Mailing Address - Fax:
Practice Address - Street 1:1020 S MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84101-3176
Practice Address - Country:US
Practice Address - Phone:801-539-7000
Practice Address - Fax:801-539-7050
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT032055235011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTP64616OtherMEDICARE ADVANTAGE PLANS
UT107009849101OtherINTERMOUNTAIN HEALTH CARE
UT004662195OtherRAILROAD MEDICARE
UT695320OtherDESERET MUTUAL
UT942938348ASPOtherEDUCATORS MUTUAL
UTU000076254Medicare PIN
UT695320OtherDESERET MUTUAL
UTP64616OtherMEDICARE ADVANTAGE PLANS
UT107009849101OtherINTERMOUNTAIN HEALTH CARE
UTU000075204Medicare PIN
UT942938348ASPOtherEDUCATORS MUTUAL