Jennifer Stewart Clark, MSWI
Individual provider Active NPI Clinical Social Worker · Holladay, UT
NPI 1225860646 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1225860646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 2046 E Murray Holladay Rd Ste 101
Holladay, UT 84117-5173 - Phone
- (801) 980-2566
- NPI assigned
- Aug 15, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zest for Life Counseling - Holladay | Clinical | Current |
Accepting new patients |
| Zest for Life Counseling | Clinical | Past |
Accepting new patients |
Locations
2046 E Murray Holladay Rd
Ste 101
Holladay, UT 84117
Phone (801) 980-2566
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
2046 E Murray Holladay Rd Ste 101
Holladay, UT 84117-5173
Mailing address
934 E Lorraine Ave
Salt Lake City, UT 84106-2045
Phone (801) 244-3269
Other providers in Holladay, UT
- David L Christensen
- Katie Lynn Christensen
- Judy Huynh Chung
- David Matthew Clark
- Jayne Elizabeth Clark
- CNM
- Ronald T Cohn
- Rebecca L Conde
- Nichole Conrad
- Maria Sagrario Cordero
All providers in Holladay, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.