Provider Demographics
NPI:1871102095
Name:HADFIELD, AIMEE (LCSW)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:HADFIELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:
Other - Last Name:HADFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:3520 S 2000 E
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-2915
Mailing Address - Country:US
Mailing Address - Phone:801-913-1777
Mailing Address - Fax:
Practice Address - Street 1:HEARTEN HOUSE
Practice Address - Street 2:314 W. BROADWAY #222
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84109
Practice Address - Country:US
Practice Address - Phone:801-913-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11672518-35021041C0700X
UT11672518-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical