Provider Demographics
NPI:1801872072
Name:BIRCHER, DEL (LCSW)
Entity type:Individual
Prefix:MR
First Name:DEL
Middle Name:
Last Name:BIRCHER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:DEL
Other - Middle Name:
Other - Last Name:BIRCHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:3248 WEST CANYON MEADOW DRIVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-8738
Mailing Address - Country:US
Mailing Address - Phone:801-538-4528
Mailing Address - Fax:801-538-3993
Practice Address - Street 1:195 N. 1950 W.
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84116-3749
Practice Address - Country:US
Practice Address - Phone:801-538-4528
Practice Address - Fax:801-538-3993
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9513793935011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT107010356101Medicare UPIN
UT262018Medicare UPIN