Jessie Anna Jean Whitnack-Davidson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

476 Heritage Park Blvd Ste 220
Layton, UT 84041-5679

Phone

(801) 425-0227

Fax

(801) 627-8817

NPI assigned

Apr 29, 2022

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Monarch Counseling & Health Center

  • Professional Counselor
  • Layton, UT
  • NPI 1881953495
  NPD

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1659016061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 HERITAGE PARK BLVD STE 220",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415679",
            "telephone_number": "801-425-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 HERITAGE PARK BLVD STE 220",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415679",
            "telephone_number": "801-425-0227",
            "fax_number": "801-627-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNACK-DAVIDSON",
        "first_name": "JESSIE ANNA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whiplash Clinic, LLC
• Autumn Whisler
• White Chiropractic & Whiplash Care Clinic
• White Dove Detox
• Trinity White
• Anna Lee Whitsel
• Karlianne Whittington
• Vincent Wiberg
• Michelle M Wickersham, CMHC
• Wiconi Counseling Center

• Clinical Social Worker in Layton, UT
• Providers in Layton, 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 Apr 29, 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.

Verify at the official NPI Registry.