Jessica Tamara Judd, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9475915-3501 Issued in UT

Practice address

111 E 5600 S Ste 304
Murray, UT 84107-8174

Phone

(801) 272-3420

NPI assigned

Jun 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Grey Matters Mental Health, LLC

  • Clinical Social Worker
  • Taylorsville, UT
  • NPI 1659069409
  NPD Authorized official
• Connections Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Murray, UT
  • NPI 1578102851
  NPD

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1780178749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 S MORRIS ST",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841295521",
            "telephone_number": "801-885-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 5600 S STE 304",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078174",
            "telephone_number": "801-272-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5689 S Redwood Rd Unit 30",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841235499",
            "country_code": "US",
            "telephone_number": "801-268-1715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDD",
        "first_name": "JESSICA",
        "middle_name": "TAMARA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9475915-3501",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "9475915-6006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaila Jordan
• Allie Jorgensen
• Tracy Joy, SSW
• David Paul Jubelirer, M.D.
• Heather Ann Judd, LCMHC
• Judicial Supervision Services, LLC
• David Gregg Julian, D.D.S.
• Juniper Family Counseling
• Juniper Family Counseling
• Junius Clawson MD PC

• Clinical Social Worker in Murray, UT
• Providers in Murray, 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 Sep 15, 2022; 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.