Active NPI
Jennifer Arballo, CSW
- Social Worker
- Salt Lake City, UT
National Provider Identifier
1497046189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7813869-3502
- Practice address
- 4568 Highland Drive
Salt Lake City, UT 84117 - Phone
- (877) 526-6647
- NPI assigned
- Apr 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7813869-3502 | UT | Primary |
Addresses
Primary practice location
4568 Highland Drive
Salt Lake City, UT 84117
Mailing address
4568 S Highland Dr
Salt Lake City, UT 84117-4263
Phone (877) 526-2247
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7813869-3502 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1497046189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4568 S HIGHLAND DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841174263",
"telephone_number": "877-526-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4568 HIGHLAND DRIVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84117",
"telephone_number": "877-526-6647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARBALLO",
"first_name": "JENNIFER",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "7813869-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.