Provider Demographics
NPI:1972941938
Name:NOORLANDER, JAMES MICHAEL JR (LCSW)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:NOORLANDER
Suffix:JR
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 1:1431 S 550 E
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-7719
Mailing Address - Country:US
Mailing Address - Phone:801-360-3166
Mailing Address - Fax:801-823-2254
Practice Address - Street 1:1325 S 800 E
Practice Address - Street 2:SUITE115B
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-7767
Practice Address - Country:US
Practice Address - Phone:801-360-3166
Practice Address - Fax:801-823-2254
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6476485-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical