Provider Demographics
NPI:1477632925
Name:SIMPSON, DAVID E (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:E
Last Name:SIMPSON
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 1:5635 S WATERBURY WAY
Mailing Address - Street 2:STE C202
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-6210
Mailing Address - Country:US
Mailing Address - Phone:801-278-0200
Mailing Address - Fax:801-273-0322
Practice Address - Street 1:5635 S WATERBURY WAY
Practice Address - Street 2:STE C202
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-6210
Practice Address - Country:US
Practice Address - Phone:801-278-0200
Practice Address - Fax:801-273-0322
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12631235011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical