Active NPI
Jaclyn Lindsay Harms
- Social Worker
- Ogden, UT
National Provider Identifier
1487161592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 128745753502
- Practice address
- 237 26TH St
Ogden, UT 84401-3105 - Phone
- (801) 625-3770
- NPI assigned
- Jan 10, 2018
- Last updated
- Sep 19, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 128745753502 | UT | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
237 26TH St
Ogden, UT 84401-3105
Mailing address
237 26TH St
Ogden, UT 84401-3105
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8760003008007 | Medicaid | UT | |
| 260022408 | Other | UT | RAILROAD MEDICARE |
| 000055266 | Other | UT | MEDICARE PIN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128745753502 | UT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weber Human Services | Current | Accepting new patients | |
| Weber Human Services | Current | Accepting new patients |
Locations
237 26th St
Ogden, UT 84401
Phone (801) 625-3605
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ogden, UT
- NPI 1043243140
-
dba Weber Human Services Med Clinic
- Family Medicine Physician
- Ogden, UT
- NPI 1396355087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1487161592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 26TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844013105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 26TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844013105",
"telephone_number": "801-625-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMS",
"first_name": "JACLYN",
"middle_name": "LINDSAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "128745753502",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8760003008007",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "260022408",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "000055266",
"state": "UT"
}
],
"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 Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.