Healthcare Provider Details

I. General information

NPI: 1558610386
Provider Name (Legal Business Name): SARAH A EAST LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2012
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3944 S 400 E
MURRAY UT
84107-1600
US

IV. Provider business mailing address

117 W 400 S
SALT LAKE CITY UT
84101-1916
US

V. Phone/Fax

Practice location:
  • Phone: 385-347-5239
  • Fax:
Mailing address:
  • Phone: 385-200-0110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10402947-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: