Provider Demographics
NPI:1497508709
Name:SMITH, ANNA ANGUIANO (CSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:ANGUIANO
Last Name:SMITH
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 E HORSESHOE RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-8171
Mailing Address - Country:US
Mailing Address - Phone:801-232-3486
Mailing Address - Fax:
Practice Address - Street 1:3082 W MAPLE LOOP DR STE 200
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-5797
Practice Address - Country:US
Practice Address - Phone:385-254-3522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13894389-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical