Provider Demographics
NPI:1366847840
Name:FLINDERS, SHAWNA (LCSW)
Entity type:Individual
Prefix:
First Name:SHAWNA
Middle Name:
Last Name:FLINDERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:
Other - Last Name:CALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4905 W 4150 S
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-8202
Mailing Address - Country:US
Mailing Address - Phone:801-510-7282
Mailing Address - Fax:
Practice Address - Street 1:275 W 200 N STE 7
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-1873
Practice Address - Country:US
Practice Address - Phone:801-546-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8161069-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT46-3035338OtherEIN