Provider Demographics
NPI:1811232234
Name:HARMON, LONI KENNINGTON (LCSW)
Entity Type:Individual
Prefix:
First Name:LONI
Middle Name:KENNINGTON
Last Name:HARMON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:LONI
Other - Middle Name:KENNINGTON
Other - Last Name:HARMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:603 S 2200 W
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-7475
Mailing Address - Country:US
Mailing Address - Phone:801-865-1453
Mailing Address - Fax:
Practice Address - Street 1:124 S FAIRFIELD RD # D1
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-7105
Practice Address - Country:US
Practice Address - Phone:801-865-1622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT703497435011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical