Jenny Mariah Thompson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8571278-3501 Issued in UT

Practice address

91 E Fort Union Blvd
Midvale, UT 84047-1531

Phone

(801) 569-1995

NPI assigned

Sep 4, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Altium Health LLC

  • Substance Abuse Rehabilitation Facility
  • West Jordan, UT
  • NPI 1235787870

  Clinical

  NPD (past)
• Utah Harm Reduction Coalition

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Midvale, UT
  • NPI 1669952958
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1013342492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 E FLORET LN APT 12P",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474052",
            "telephone_number": "019-196-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 E FORT UNION BLVD",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471531",
            "telephone_number": "801-569-1995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "352 N Main St",
            "address_purpose": "LOCATION",
            "city": "Tooele",
            "state": "UT",
            "postal_code": "840741657",
            "country_code": "US",
            "telephone_number": "435-200-3107",
            "fax_number": "435-291-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JENNY",
        "middle_name": "MARIAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8571278-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Tewari, CSW
• Paul Teynor, M.D.
• Lindsay Thielen
• Thomas R Dickson, DDS., PC
• Sheri L Thomas, D.V.M.
• Jessica Anne Thompson
• Taralynn Thompson, CSW
• Emma Brooke Timmerman, MT-BC
• Jeffrey To, OD
• McKenzie Tonks, PA-C

• All providers in Midvale, UT
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.