Provider Demographics
NPI:1629810577
Name:WARD, ASPEN (CSW)
Entity type:Individual
Prefix:
First Name:ASPEN
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:ASPEN
Other - Middle Name:
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:433 N 700 E
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84050-9321
Mailing Address - Country:US
Mailing Address - Phone:801-791-7851
Mailing Address - Fax:
Practice Address - Street 1:138 E 12300 S UNIT 328
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7976
Practice Address - Country:US
Practice Address - Phone:801-406-6256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041S0200X
UT14222113-3502104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool