B. Shane Harmon LCSW, LLC

Organization Active NPI Clinical Social Worker · Riverdale, UT

NPI 1326326273 · NPPES record last updated Jul 26, 2011

Key facts

NPI
1326326273
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
141805-3501 (UT)
Legal business name
B. SHANE HARMON LCSW, LLC
Practice address
5149 S 1500 W
Riverdale, UT 84405-3926
Phone
(801) 475-0402
Fax
(801) 475-7464
NPI assigned
Jul 26, 2011
Organization subpart
No

Authorized official

Name
Mr. B. Shane Harmon, LCSW
Title
Manager
Phone
(801) 475-0402

National Provider Directory

Locations

4879 S 1900 W
Unit 399
Roy, UT 84067

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 141805-3501 UT Yes

Addresses

Primary practice location

5149 S 1500 W
Riverdale, UT 84405-3926

Mailing address

5149 S 1500 W
Riverdale, UT 84405-3926
Phone (801) 475-0402

Other providers in Riverdale, UT

All providers in Riverdale, UT · Clinical Social Worker in Utah

Sources for this page

Verify at the official NPI Registry.