Active NPI
Jane A Weiss, MSW
- Clinical Social Worker
- Holladay, UT
National Provider Identifier
1295725216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1360703501
- Practice address
- 4505 Wasatch Blvd
Suite 380
Holladay, UT 84124-4709 - Phone
- (801) 273-7514
- Fax
- (801) 273-7514
- NPI assigned
- Oct 21, 2005
- 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 | 1360703501 | UT | Primary |
Addresses
Primary practice location
4505 Wasatch Blvd
Suite 380
Holladay, UT 84124-4709
Mailing address
4505 Wasatch Blvd
Suite 380
Holladay, UT 84124-4709
Phone (801) 273-7514
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 |
|---|---|---|---|
| 1360703501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295725216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 WASATCH BLVD",
"address_2": "SUITE 380",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841244709",
"telephone_number": "801-273-7514",
"fax_number": "801-273-7514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 WASATCH BLVD",
"address_2": "SUITE 380",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841244709",
"telephone_number": "801-273-7514",
"fax_number": "801-273-7514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "JANE",
"middle_name": "A",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "1360703501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holladay, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.