Provider Demographics
NPI:1205694312
Name:RIVERA, SHARON (CSW)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:RIVERA
Suffix:
Gender:
Credentials:CSW
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:DALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 E 400 N
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-1433
Mailing Address - Country:US
Mailing Address - Phone:801-473-2096
Mailing Address - Fax:
Practice Address - Street 1:264 W CENTER ST
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-4637
Practice Address - Country:US
Practice Address - Phone:801-225-4027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13208503-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical