Individual provider Active NPI

Jamie Lee Crenshaw

  • Social Worker
  • Harrisville, UT
National Provider Identifier
1578433694
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14240204-3502 Issued in UT
Practice address
811 N Harrisville Rd
Harrisville, UT 84404-3537
Phone
(801) 399-1818
NPI assigned
Nov 5, 2025
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 14240204-3502 UT Primary

Addresses

Primary practice location

811 N Harrisville Rd
Harrisville, UT 84404-3537

Mailing address

3939 Orchard Ave
South Ogden, UT 84403-1809

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14240204-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Medical Services, LLC CurrentSince Nov 9, 2025 Accepting new patients
Aloha Behavioral Consultants, Inc. Clinical CurrentSince Nov 9, 2025 Accepting new patients

Locations

811 N Harrisville Rd
Ogden, UT 84404
Phone (801) 399-1818

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.

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1578433694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 ORCHARD AVE",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844031809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N HARRISVILLE RD",
            "city": "HARRISVILLE",
            "state": "UT",
            "postal_code": "844043537",
            "telephone_number": "801-399-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "JAMIE LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "14240204-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.