Phoenix J Jimenez, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14200073-3502 Issued in UT

Practice address

2940 N Church St Ste 303
Layton, UT 84040-6617

Phone

(801) 935-4171

Fax

(385) 227-8653

NPI assigned

Jun 11, 2020

Reactivated

Mar 18, 2025

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1720603046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 N SCOTTSDALE RD STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573429",
            "telephone_number": "844-808-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N CHURCH ST STE 303",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840406617",
            "telephone_number": "801-935-4171",
            "fax_number": "385-227-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "PHOENIX",
        "middle_name": "J",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2025-03-18",
        "certification_date": "2025-02-28",
        "deactivation_date": "2025-02-28",
        "reactivation_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "14200073-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiernan Jett
• Haley Jex
• Lexie Jo Calloway Jex, PA-C, RDN, CD
• Rodney M Jex, DPM
• Ameyali Jimenez
• Carlee Johansen
• John J Christensen DDS PC
• Amanda Jane John
• Brian Cecil John, PHARMD
• Jalee John, DO

• 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 Mar 18, 2025; 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.