Provider Demographics
NPI:1760954259
Name:ARMSTRONG, CAMERON REID (LCSW)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:REID
Last Name:ARMSTRONG
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 1:4306 N SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-4730
Mailing Address - Country:US
Mailing Address - Phone:801-830-5251
Mailing Address - Fax:
Practice Address - Street 1:4306 N SCENIC DR
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-4730
Practice Address - Country:US
Practice Address - Phone:801-830-5251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-20
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6606630-35011041C0700X
NJ44SC061345001041C0700X
NY091469-011041C0700X
UT660663035011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical