Provider Demographics
NPI:1669011979
Name:CHATTERLEY, ALAINA JO (LCSW)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:JO
Last Name:CHATTERLEY
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 1:2582 W CRANBERRY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-4135
Mailing Address - Country:US
Mailing Address - Phone:801-735-6467
Mailing Address - Fax:
Practice Address - Street 1:2582 W CRANBERRY RIDGE RD
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-4135
Practice Address - Country:US
Practice Address - Phone:801-735-6467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5907047-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical