Provider Demographics
NPI:1124880901
Name:NINH-HO, ANGEL (LCSW)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:NINH-HO
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 1:11758 S DISTRICT DR UNIT 903
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-6046
Mailing Address - Country:US
Mailing Address - Phone:209-915-5724
Mailing Address - Fax:
Practice Address - Street 1:11758 S DISTRICT DR UNIT 903
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-6046
Practice Address - Country:US
Practice Address - Phone:209-915-5724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11907597-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical