Jodilyn Reza, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12337292-3501 Issued in UT

Practice address

1730 E 3100 N Ste 2
Layton, UT 84040-2408

Phone

(801) 525-4645

NPI assigned

Feb 2, 2023

Last updated

Feb 25, 2023By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677283200000",
    "number": "1710683529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 E 3100 N STE 2",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840402408",
            "telephone_number": "385-419-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E 3100 N STE 2",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840402408",
            "telephone_number": "801-525-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZA",
        "first_name": "JODILYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-25",
        "certification_date": "2023-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12337292-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Mark Reynolds
• James R Reynolds, MD
• Jonathan Reynolds
• Joseph Reynolds
• Michelle Renee Reynolds, LCSW
• Amanda Ricardo
• Letitia Rice
• Robert S Rice, M.D.
• Kristen Rich
• Richard G Seegmiller DPM PC

• 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 Feb 25, 2023; 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.