Provider Demographics
NPI:1821263898
Name:REID, ADNEY (LCSW)
Entity Type:Individual
Prefix:
First Name:ADNEY
Middle Name:
Last Name:REID
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 1:7929 BROOKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE MOUNTAIN
Mailing Address - State:UT
Mailing Address - Zip Code:84005-6145
Mailing Address - Country:US
Mailing Address - Phone:801-885-1216
Mailing Address - Fax:801-938-3908
Practice Address - Street 1:7929 BROOKWOOD DR
Practice Address - Street 2:
Practice Address - City:EAGLE MOUNTAIN
Practice Address - State:UT
Practice Address - Zip Code:84005-6145
Practice Address - Country:US
Practice Address - Phone:801-885-1216
Practice Address - Fax:801-938-3908
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator