Provider Demographics
NPI:1578371753
Name:MCARTHUR, TARA (CSW)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:859 E 3RD AVE # 2
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-3869
Mailing Address - Country:US
Mailing Address - Phone:530-559-1410
Mailing Address - Fax:
Practice Address - Street 1:4609 S 2300 E STE 107
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84117-4500
Practice Address - Country:US
Practice Address - Phone:801-382-9604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14181729-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty