Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MANUEL NAZARENO EVANGELISTA, LCSW
Active Sole ProprietorMR. MANUEL NAZARENO EVANGELISTA, LCSW is a Social Worker healthcare provider located in SALT LAKE, Utah. NPI 1467787515 is currently active in the NPPES registry. Verify at CMS.
Social Worker · SALT LAKE, UT
Registration Details
- NPI Number
- 1467787515
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2009 (16.835987567511 yrs)
- Last Updated
- Oct 7, 2009
- License
-
6417919-3501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
860 EAST 4500 SOUTH #302SALT LAKE, UT, 84107Browse UT providers · Browse ZIP 84107
- Phone
- 8012680333
- Fax
- 8012683777
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in SALT LAKE, UT
| Name | Credential | NPI |
|---|---|---|
| MISS SHIRLEY ROSE ELEY | SSW | 1558650333 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.