David Blaine Jensen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1415763501 Issued in UT

Practice address

991 S 100 E
Richfield, UT 84701-7030

Phone

(435) 201-9228

NPI assigned

Feb 8, 2007

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1306986013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 N MAIN ST",
            "city": "CENTRAL VALLEY",
            "state": "UT",
            "postal_code": "847543119",
            "telephone_number": "435-201-9228",
            "fax_number": "435-896-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 S 100 E",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847017030",
            "telephone_number": "435-201-9228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 N Main St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "UT",
            "postal_code": "847012163",
            "country_code": "US",
            "telephone_number": "435-201-9228",
            "fax_number": "435-896-8769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "DAVID",
        "middle_name": "BLAINE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1415763501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie R Jansen
• Taijah Jarrett
• Darrin R Jeffery, D.D.S.
• Brian Jensen
• Carter Jensen
• Diana D Jensen, LPN
• Christina Jessop
• Cedar Jewkes
• Meinkina Jewkes
• Garett Johnson

• Clinical Social Worker in Richfield, UT
• Providers in Richfield, 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 Oct 29, 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.

Verify at the official NPI Registry.