Provider Demographics
NPI:1831821834
Name:DURRANT, ADAM TODD (CSW)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:TODD
Last Name:DURRANT
Suffix:
Gender:M
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 E 700 S
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84606-6382
Mailing Address - Country:US
Mailing Address - Phone:385-551-1276
Mailing Address - Fax:
Practice Address - Street 1:1268 N VALLEY HEIGHTS CIR
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-4591
Practice Address - Country:US
Practice Address - Phone:844-313-6749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13417383-35021041C0700X
UT13417383-3503104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical