Provider Demographics
NPI:1578741005
Name:WELSH, CAROLINE JANE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:JANE
Last Name:WELSH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3494 N 350 W
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-4174
Mailing Address - Country:US
Mailing Address - Phone:801-867-6669
Mailing Address - Fax:
Practice Address - Street 1:782 E PIONEER RD STE 300
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-5751
Practice Address - Country:US
Practice Address - Phone:801-867-6669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT569318135011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical