Provider Demographics
NPI:1447511704
Name:MORALES, JAVIER ALEX (LCSW)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:ALEX
Last Name:MORALES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 LARKIN LN
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-4155
Mailing Address - Country:US
Mailing Address - Phone:626-646-9778
Mailing Address - Fax:
Practice Address - Street 1:722 SHEPARD LN STE 101
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025-3845
Practice Address - Country:US
Practice Address - Phone:385-515-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8580033-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical