Individual provider Active NPI

Jordan Kent Harmon, LCSW

  • Clinical Social Worker
  • Sandy, UT
National Provider Identifier
1720498355
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7392210-3501 Issued in UT
Practice address
230 W Towne Ridge Pkwy
Ste. #225
Sandy, UT 84070-2005
Phone
(801) 440-2023
NPI assigned
May 5, 2014
Last updated
May 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7392210-3501 UT Primary

Addresses

Primary practice location

230 W Towne Ridge Pkwy
Ste. #225
Sandy, UT 84070-2005

Mailing address

960 Cedar Ave
Provo, UT 84604-2862

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170511002279 UT Practitioner - Clinical Social Worker 8628355062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1720498355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 CEDAR AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W TOWNE RIDGE PKWY",
            "address_2": "STE. #225",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702005",
            "telephone_number": "801-440-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "JORDAN",
        "middle_name": "KENT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7392210-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.