Active NPI
Jillynn Stevens
- Social Worker
- St. George, UT
National Provider Identifier
1619495264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 577 S River Road
St. George, UT 84790-2097 - Phone
- (435) 688-6200
- Fax
- (435) 688-6222
- NPI assigned
- Sep 5, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 139187-3501 | UT | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
577 S River Road
St. George, UT 84790-2097
Mailing address
577 S River Road
St. George, UT 84790-2097
Phone (435) 688-6200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619495264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "577 S RIVER ROAD",
"city": "ST. GEORGE",
"state": "UT",
"postal_code": "847902097",
"telephone_number": "435-688-6200",
"fax_number": "435-688-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "577 S RIVER ROAD",
"city": "ST. GEORGE",
"state": "UT",
"postal_code": "847902097",
"telephone_number": "435-688-6200",
"fax_number": "435-688-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JILLYNN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "139187-3501",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.