NPI 1982992798 · live from the CMS NPI Registry
Jaclyn Andersen, CSW
Social Worker in Logan, UT. National Provider Identifier 1982992798, active.
NPI record
| NPI | 1982992798 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 380 W 1400 N, Logan, UT 84341 |
| Practice phone | 435-752-8880 |
| Mailing address | 297 W 1000 N, Logan, UT 84321 |
| Enumerated | July 13, 2011 |
| Last updated | July 13, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | 77503153502 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.