Individual provider Active NPI

Jacqueline Deily

  • Clinical Social Worker
  • Murray, UT
National Provider Identifier
1750931135
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10831013-3501 Issued in UT
Practice address
448 E Winchester St Ste 110
Murray, UT 84107-8538
Phone
(801) 796-2713
NPI assigned
Sep 17, 2019
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 10831013-3502 UT
Clinical Social Worker 1041C0700X 10831013-3501 UT Primary

Addresses

Primary practice location

448 E Winchester St Ste 110
Murray, UT 84107-8538

Mailing address

448 E Winchester St Ste 110
Murray, UT 84107-8538
Phone (801) 796-2713

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hi@forwardhealing.co Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10831013-3502UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaizen Center for Mental Health PLLC Clinical PastSince Sep 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hi@forwardhealing.co

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1750931135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 E WINCHESTER ST STE 110",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078538",
            "telephone_number": "801-796-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 E WINCHESTER ST STE 110",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078538",
            "telephone_number": "801-796-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEILY",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "10831013-3502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10831013-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hi@forwardhealing.co",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "448 E Winchester St Ste 110",
            "city": "Murray",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841078538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.