Individual provider Active NPI

Jason Schulz, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1750825436
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9069104-3501 Issued in UT
Practice address
265 E 100 S Ste 250
Salt Lake City, UT 84111-1643
Phone
(415) 531-4683
NPI assigned
Dec 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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 9069104-3501 UT Primary

Addresses

Primary practice location

265 E 100 S Ste 250
Salt Lake City, UT 84111-1643

Mailing address

PO Box 680135
Park City, UT 84068-0135
Phone (415) 531-4683

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
I20170213001163 UT Practitioner - Clinical Social Worker 8224311550 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9069104-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Potential CurrentSince Dec 15, 2019 Accepting new patients
Center for Human Potential Inc CurrentSince Jan 10, 2017 Accepting new patients
Jason Schulz Counseling CurrentSince Dec 10, 2023 Accepting new patients

Locations

265 E 100 S
Ste 250
Slc, UT 84111
Phone (801) 483-2447

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1750825436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680135",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840680135",
            "telephone_number": "415-531-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E 100 S STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111643",
            "telephone_number": "415-531-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "JASON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9069104-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.