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NPI Code Detail

MEDICARE: STEVEN DANIEL EDWARDS L.C.S.W.

MEDICARE:   STEVEN DANIEL EDWARDS  L.C.S.W.
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 Worker5344281-3501UT
21041C0700XClinical Social Worker945MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1107036117101OTHERUTINTRMTN. HEALTH CARE
2898697OTHERUTDESERET MUTUAL
3942938348WADOTHERUTEDUCATORS MUTUAL

General Provider Information

NPI Number : 1457331605
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN DANIEL EDWARDS L.C.S.W.
Provider Business Mailing Address
First Line : 3725 W 4100 S STE 201
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84120-6490
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1020 S MAIN ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84101-3176
Country : US
Telephone Number : 888-949-4864
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2006
Last Update Date : 03/09/2026

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Directions to “ STEVEN DANIEL EDWARDS L.C.S.W.” Practice Location

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