Florence W Jackson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6224346-3501 Issued in UT

Practice address

4505 S Wasatch Blvd Ste 330B
Salt Lake City, UT 84124-4794

Phone

(801) 455-7985

NPI assigned

Aug 24, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1245546589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 S WASATCH BLVD STE 330B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 S WASATCH BLVD STE 330B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244794",
            "telephone_number": "801-455-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "FLORENCE",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2021-05-25",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6224346-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis N. Jackson, MD
• Dorothy Elizabeth Jackson
• Elaine S. Jackson, RN
• Ellie Jackson
• Emilee Sue Jackson
• Gilbert Marc Jackson, MD
• Heather A Jackson, M.D.
• Holly Jackson
• Holly A Jackson
• Jacob Jackson

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.