Provider Demographics
NPI:1134593387
Name:RASMUSSEN, DARIN (LCSW)
Entity type:Individual
Prefix:
First Name:DARIN
Middle Name:
Last Name:RASMUSSEN
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 1:550 AARON AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-1542
Mailing Address - Country:US
Mailing Address - Phone:801-615-9722
Mailing Address - Fax:
Practice Address - Street 1:560 S STATE ST STE E1
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-6347
Practice Address - Country:US
Practice Address - Phone:801-252-5374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-25
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11168103-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical