Individual provider Active NPI

Jaclyn Amaya Hoglund

  • Clinical Social Worker
  • South Jordan, UT
National Provider Identifier
1063301596
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14223093-3502 Issued in UT
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

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14223093-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renova Wellness and Consulting PLLC CurrentSince Jul 9, 2025 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.

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.

Verify at the official NPI Registry.