Active NPI
Christina Jeanne Jeffery Cackler, LCSW, MPH
- Clinical Social Worker
- West Jordan, UT
National Provider Identifier
1528515798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10999106-3501
- Practice address
- 7533 S Center View CT Ste N
West Jordan, UT 84084-5526 - Phone
- (801) 228-0927
- NPI assigned
- Sep 6, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | ASW60571 | CA | |
| Clinical Social Worker | 1041C0700X | 10999106-3501 | UT | Primary |
Addresses
Primary practice location
7533 S Center View CT Ste N
West Jordan, UT 84084-5526
Mailing address
7533 S Center View CT Ste N
West Jordan, UT 84084-5526
Phone (801) 228-0927
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ccackler315985@direct.med.utah.edu | Direct | University of Utah |
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 |
|---|---|---|---|
| ASW60571 | CA | MD | Social Worker |
| 10999106-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Upstream, PLLC | Current | Accepting new patients |
Locations
4055 S 700 E
Millcreek, UT 84107
Phone (801) 228-0927
7533 S Center View Ct
West Jordan, UT 84084
Phone (385) 539-2077
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.
-
- Community/Behavioral Health Agency
- Salt Lake City, UT
- NPI 1366244691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1528515798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7533 S CENTER VIEW CT STE N",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840845526",
"telephone_number": "801-228-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7533 S CENTER VIEW CT STE N",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840845526",
"telephone_number": "801-228-0927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACKLER",
"first_name": "CHRISTINA",
"middle_name": "JEANNE JEFFERY",
"credential": "LCSW, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2025-02-07",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW60571",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "10999106-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ccackler315985@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.