Jill Jensen, CSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

10877292-3502 Issued in UT

Practice address

1459 N Main St # 100
Bountiful, UT 84010-6092

Phone

(801) 298-2000

NPI assigned

Jul 10, 2018

Last updated

Jul 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Oct 7, 2024 through Oct 7, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ocd Anxiety Centers Utah LLC

  • Community/Behavioral Health Agency
  • South Jordan, UT
  • NPI 1134973506
  NPD (past)
• The Ocd and Anxiety Treatment Center

  • Community/Behavioral Health Agency
  • Bountiful, UT
  • NPI 1881079069
  NPD (past)

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1528554797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 N MAIN ST # 100",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 N MAIN ST # 100",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106092",
            "telephone_number": "801-298-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JILL",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "10877292-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney R Jeffries, LCSW
• Mardiene Jeffs, PA-C
• Erik Jenkins, LCSW
• Kristopher B Jenkins, FNP-C
• Elva Michelle Jensen
• Joseph D. Jensen, MD
• Laura Jensen
• Stayce L Jensen
• Tayler Jensen, CCC-SLP
• Tenille Jensen

• Social Worker in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.