Active NPI
Jaclyn Amaya Hoglund
- Clinical Social Worker
- South Jordan, UT
National Provider Identifier
1063301596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14223093-3502
- Practice address
- 10694 S River Front Pkwy
South Jordan, UT 84095-3525 - Phone
- (801) 317-8522
- NPI assigned
- Jun 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14223093-3502 | UT | Primary |
Addresses
Primary practice location
10694 S River Front Pkwy
South Jordan, UT 84095-3525
Mailing address
756 S Glendale St
Salt Lake City, UT 84104-2412
Phone (385) 424-7539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14223093-3502 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renova Wellness and Consulting PLLC | Current | Accepting new patients |
Locations
2332 W 12600 S
Ste 2B
Riverton, UT 84065
Phone (801) 317-8522
10694 S River Front Pkwy
South Jordan, UT 84095
Phone (385) 479-5395
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Riverton, UT
- NPI 1033905518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1063301596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "756 S GLENDALE ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841042412",
"telephone_number": "385-424-7539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10694 S RIVER FRONT PKWY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840953525",
"telephone_number": "801-317-8522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGLUND",
"first_name": "JACLYN",
"middle_name": "AMAYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "14223093-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.