Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antonio Shade, CSW

Individual provider Social Worker · NPI 1497518716

Antonio Shade, CSW is a Social Worker in West Valley City, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

3737 W 4100 S
West Valley City, UT 84120-5543
Phone: (888) 949-4864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 13752698-3502 (UT)

Record details

NPI number1497518716
Entity typeIndividual (Type 1)
GenderMale
Credentials CSW
Sole proprietorNo
NPI enumeratedJanuary 31, 2024
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing address3725 W 4100 S Ste 201, West Valley City, UT 84120-6490

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