Provider Demographics
NPI:1942042916
Name:LOZADA, SCARLETH NOHELY (MSW)
Entity type:Individual
Prefix:MR
First Name:SCARLETH
Middle Name:NOHELY
Last Name:LOZADA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5492 S EMBERLY LN APT 7
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-5918
Mailing Address - Country:US
Mailing Address - Phone:385-775-3463
Mailing Address - Fax:
Practice Address - Street 1:75 E FORT UNION BLVD STE C118
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-5512
Practice Address - Country:US
Practice Address - Phone:801-654-0772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical