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NPI Code Detail

MEDICARE: JASON GARFIELD CSW, LMSW

MEDICARE: JASON GARFIELD CSW, LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker073336NY
21041C0700XClinical Social Worker6597778-3502UT

General Provider Information

NPI Number : 1225206170
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON GARFIELD CSW, LMSW
Provider Business Mailing Address
First Line : 410 CREEKSIDE CIR APT E
Second Line :
City : MURRAY
State : UT
Zip : 84107-6334
Country : US
Telephone Number : 801-633-4899
Fax Number :
Provider Business Practice Location Address
First Line : 1588 MAJOR ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-1631
Country : US
Telephone Number : 801-467-6060
Fax Number : 801-486-3007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2008
Last Update Date : 02/13/2008

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