Provider Demographics
NPI:1063242071
Name:TWEEDIE, ARIANA (LCSW)
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:TWEEDIE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:592 W 1350 S
Mailing Address - Street 2:
Mailing Address - City:WOODS CROSS
Mailing Address - State:UT
Mailing Address - Zip Code:84010-8180
Mailing Address - Country:US
Mailing Address - Phone:801-299-5300
Mailing Address - Fax:
Practice Address - Street 1:592 W 1350 S
Practice Address - Street 2:
Practice Address - City:WOODS CROSS
Practice Address - State:UT
Practice Address - Zip Code:84010-8180
Practice Address - Country:US
Practice Address - Phone:801-299-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12791394-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical