Melanie Hewitt Jackson, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

51692873502 Issued in UT

Practice address

1466 N Highway 89 Ste 220
Farmington, UT 84025-2738

Phone

(801) 451-0475

NPI assigned

Jan 10, 2007

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

Yes, effective Jan 1, 2024 through Jan 1, 2028

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 and National Provider Directory roles.

• LDS Family Services

  dba LDS Family Services UT Layton Agency

  • Specialist
  • Layton, UT
  • NPI 1811043789
  NPD (past)
• Resilient Solutions, Inc.

  • Professional Counselor
  • Bountiful, UT
  • NPI 1588821011
  NPD (past)
• LDS Family Services

  dba LDS Family Services wA Seattle Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Renton, WA
  • NPI 1073726485
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639229131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 THORNFIELD RD",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371548",
            "telephone_number": "801-451-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 N HIGHWAY 89 STE 220",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252738",
            "telephone_number": "801-451-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MELANIE",
        "middle_name": "HEWITT",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "51692873502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwight David Hurst, CPCI
• Tyler Hussey, PHARMD
• Ihc Health Services Inc (Farmington Expresscare)
• Integrity Hearing and Balance LLC
• Angela Lee Ivester, CRNA
• Caitlyn Paige Jaklich, OTD, OTR/L
• Hans C Jenkins, D.O.
• Jordan Jenkins, DDS
• Paul Russell Jensen, M.D.
• Ashlee Beth Johnson, ACMHC

• Clinical Social Worker in Farmington, UT
• Providers in Farmington, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.