Active NPI
Jazmine Alexii Callahan
- Clinical Social Worker
- Ogden, UT
National Provider Identifier
1346724697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12880088-3501
- Practice address
- 3350 Harrison Blvd
Ogden, UT 84403-1229 - Phone
- (385) 220-9498
- NPI assigned
- Sep 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | UT | ||
| Community Health Worker | 172V00000X | |||
| Clinical Social Worker | 1041C0700X | 12880088-3501 | UT | Primary |
Addresses
Primary practice location
3350 Harrison Blvd
Ogden, UT 84403-1229
Mailing address
3350 Harrison Blvd
Ogden, UT 84403-1229
Phone (853) 220-9498
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 |
|---|---|---|---|
| 12880088-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Conversations | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Ogden, UT
- NPI 1568052793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1346724697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 HARRISON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844031229",
"telephone_number": "853-220-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 HARRISON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844031229",
"telephone_number": "385-220-9498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "JAZMINE",
"middle_name": "ALEXII",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-22",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "UT",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12880088-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.