Jordan Clark Esteban

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11788173-3506 Issued in UT

Practice address

440 S 500 E
Salt Lake City, UT 84102-2705

Phone

(801) 359-8862

NPI assigned

Jun 15, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1700401767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E OSBORNE ESTATE CIR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208259",
            "telephone_number": "801-669-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S 500 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022705",
            "telephone_number": "801-359-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEBAN",
        "first_name": "JORDAN",
        "middle_name": "CLARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "11788173-3506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared F Esplin, PT
• Katrina Knight Esplin
• Michael S Esplin, MD
• Corenthia Ann Esquibel
• Anne Wierman Estares, D.O.
• Jennifer Ann Estep, M.S., CCC-SLP
• Connor Estes
• Angel Estevez
• Lilliaunna Estey
• Charis R. Estrada, MD

• Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.