Provider Demographics
NPI:1811018328
Name:STEELE, LYNDA S (LCSW)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:S
Last Name:STEELE
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 1:989 E 900 S
Mailing Address - Street 2:SUITE A-2
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84105-1473
Mailing Address - Country:US
Mailing Address - Phone:801-596-0147
Mailing Address - Fax:
Practice Address - Street 1:989 E 900 S
Practice Address - Street 2:SUITE A-2
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84105-1473
Practice Address - Country:US
Practice Address - Phone:801-596-0147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT286091-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical