Garth John Lasater, CSW
Individual provider Active NPI Social Worker · Toquerville, UT
NPI 1831679083 · NPPES record last updated Aug 17, 2018
Key facts
- NPI
- 1831679083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 368194-3502 (UT)
- Practice address
- 652 North Shady Lane
Toquerville, UT 84774 - Phone
- (438) 862-9657
- Fax
- (435) 215-0505
- NPI assigned
- Aug 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 368194-3502 | UT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liahona Academy for Youth, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | 368194-3502 | UT | Yes |
Addresses
Primary practice location
652 North Shady Lane
Toquerville, UT 84774
Mailing address
652 North Shady Lane
Toquerville, UT 84774
Phone (435) 215-0500
Other providers in Toquerville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.