Mabel Ann Jentzsch, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

138487-3501 Issued in UT

Practice address

252 S 500 E
Salt Lake City, UT 84102-2030

Phone

(801) 236-7710

Fax

(801) 236-7707

NPI assigned

Nov 15, 2005

Last updated

Oct 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• University Neuropsychiatric Institue

  • Psychiatric Residential Treatment Facility
  • Salt Lake City, UT
  • NPI 1487908968
  NPD (past) Authorized official
• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980

  Clinical

  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1326020512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E CHIPETA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081222",
            "telephone_number": "801-236-7710",
            "fax_number": "801-236-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S 500 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022030",
            "telephone_number": "801-236-7710",
            "fax_number": "801-236-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENTZSCH",
        "first_name": "MABEL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "138487-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Jenson
• Lacee Jenson
• Paula L Jenson
• Wendy Jean Jenson
• William Tyler Jenson, MD
• Melissa B Jentzsch, RBT
• Kobe Jeppesen
• Tanaya Jeppesen
• Jennifer Jeppsen, PHARMD
• Patricia Ann Jeppson, PHARMD

• 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 Oct 18, 2012; 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.