ANTONIO SHADE, CSW

Social Worker

Active Individual
NPI: 1497518716

Practice Address

3737 W 4100 S
West Valley City, UT 84120

Phone: (888) 949-4864

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 13752698-3502 (UT)

Frequently Asked Questions

NPI 1497518716 is the National Provider Identifier for ANTONIO SHADE, CSW, a Social Worker provider located in West Valley City, UT. This NPI was enumerated on January 31, 2024.
ANTONIO SHADE, CSW practices at 3737 W 4100 S, West Valley City, UT 84120.

Quick Facts

NPI
1497518716
Type
Individual
Enumerated
Jan 31, 2024
Last Updated
Oct 27, 2025

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