Jade Mangus, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4995763-3502 Issued in UT

Practice address

7992 S 7110 W
West Jordan, UT 84088-5094

Phone

(801) 252-7036

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710006770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7992 S 7110 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885094",
            "telephone_number": "801-252-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7992 S 7110 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885094",
            "telephone_number": "801-252-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUS",
        "first_name": "JADE",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "4995763-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanoelani Magner
• Jeremy Bruce Mahoney, DMD
• Ashley Majoskey, PA-C
• Anne Malbica
• Shelley F Mangum, CMHC
• Matteus Manzo
• Joseph Marble
• Rebecca Marble
• Andrew Mardini
• Marisa Alder Mental Health Therapy PLLC

• Clinical Social Worker in West Jordan, UT
• Providers in West Jordan, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.