Active NPI
Jennifer Castillo Hurst, LCSW
- Clinical Social Worker
- Springville, UT
National Provider Identifier
1104323690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8944625-3501
- Practice address
- 1672 W 700 S Ste D
Springville, UT 84663-4963 - Phone
- (801) 489-9721
- NPI assigned
- Apr 10, 2018
- Last updated
- Apr 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 8944625-3501 | UT | Primary |
Addresses
Primary practice location
1672 W 700 S Ste D
Springville, UT 84663-4963
Mailing address
1252 E 800 N
Spanish Fork, UT 84660-1322
Phone (801) 368-7101
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 |
|---|---|---|---|
| 8944625-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palisades Counseling LLC | Clinical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1104323690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1252 E 800 N",
"city": "SPANISH FORK",
"state": "UT",
"postal_code": "846601322",
"telephone_number": "801-368-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1672 W 700 S STE D",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846634963",
"telephone_number": "801-489-9721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURST",
"first_name": "JENNIFER",
"middle_name": "CASTILLO",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "8944625-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springville, UT
- Jarrett Michael Huber
- Lisa B. Hughes, LCSW
- Anna Hunsaker, LCSW
- Leanna Hunt, ACMHC
- Tiffany Huntsman
- I Love Grandma Inc. (Canterbury Assisted Living)
- Syrina Ibarra
- Ihc Health Services Inc (Intermountain Springville WorkMed)
- Ihc Health Services Inc (Intermountain Springville Clinic)
- J & E Young (Young Hearing)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.