Individual provider Active NPI

Jared D Ferguson, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1396971271
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6160923-3502 Issued in UT
Practice address
434 S. 500 E.
Salt Lake City, UT 84102
Phone
(801) 359-8862
NPI assigned
Jun 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6160923-3502 UT Primary

Addresses

Primary practice location

434 S. 500 E.
Salt Lake City, UT 84102

Mailing address

440 S 500 E
Salt Lake City, UT 84102-2705
Phone (801) 332-9253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918003223 UT Practitioner - Clinical Social Worker 8628572963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

440 S 500
Salt Lake City, UT 84102-2705

858 W Founders Point LN
Midvale, UT 84047-2404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6160923-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
First Step House CurrentSince Apr 28, 2025 Accepting new patients

Locations

434 S 500 E
Slc, UT 84102
Phone (385) 270-7198

411 N Grant St
Slc, UT 84116
Phone (801) 359-8510

440 S 500 E
Slc, UT 84102
Phone (385) 602-7086

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.

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1396971271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S 500 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022705",
            "telephone_number": "801-332-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 S. 500 E.",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "801-359-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JARED",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6160923-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.