Provider Demographics
NPI:1558457481
Name:EVANS-CAZIER, ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:EVANS-CAZIER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:EVANS
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1308 S 1700 E
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-2273
Mailing Address - Country:US
Mailing Address - Phone:801-419-3312
Mailing Address - Fax:801-907-7162
Practice Address - Street 1:1308 S 1700 E
Practice Address - Street 2:SUITE 210
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84108-2273
Practice Address - Country:US
Practice Address - Phone:801-419-3312
Practice Address - Fax:801-907-7162
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5970882-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT2033511138AECOtherEDUCATORS MUTUAL
UT59708823500001OtherREGENCE BXBS