Jesse Alexander Buchanan, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11833520-3501 Issued in UT

Practice address

11650 S State St Ste 104
Draper, UT 84020-7144

Phone

(801) 867-3472

Fax

(801) 401-7850

NPI assigned

Sep 12, 2020

Sex

Male

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Sunrise Solutions

  • Clinical Social Worker
  • Draper, UT
  • NPI 1598112385
  Medicare reassignment NPD

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1659986099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 S STATE ST STE 104",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207144",
            "telephone_number": "801-867-3472",
            "fax_number": "801-401-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 S STATE ST STE 104",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207144",
            "telephone_number": "801-867-3472",
            "fax_number": "801-401-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "JESSE",
        "middle_name": "ALEXANDER",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-12",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11833520-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Brunelle
• Brittany Bruner
• Monte Bryce
• BT Molecular LLC
• Adalee Buchanan, MS, BCBA
• Jessica Buchanan
• Rachal Adelle Buchanan, LCSW
• Benjamin Buckner, M.D.
• Branden Buffington, DO
• Riley Buffum

• Clinical Social Worker in Draper, UT
• Providers in Draper, 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 Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.