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

Ilene F Lazenby

Individual provider Clinical Social Worker · NPI 1639651516

Ilene F Lazenby is a Clinical Social Worker in Logan, Utah. Licensed in Utah. Registered with an NPI since 2018.

Licensed in
UT
In the registry since
2018
Specialties on file
2

Practice location Address checks out

90 E 200 N
Logan, UT 84321-4034
Phone: (435) 752-0750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11841805-3502 (UT)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1639651516
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2018
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023

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