Provider Demographics
NPI:1841313434
Name:STEED, DAVID JASON (LCSW)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JASON
Last Name:STEED
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 1:11075 S STATE ST STE 16
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-5196
Mailing Address - Country:US
Mailing Address - Phone:801-372-4466
Mailing Address - Fax:801-747-6879
Practice Address - Street 1:11075 S STATE ST STE 16
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070
Practice Address - Country:US
Practice Address - Phone:801-372-4466
Practice Address - Fax:801-747-6879
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040075241041C0700X
UT5912027-35011041C0700X
AK8481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical