Individual provider Active NPI

Jennette Eileen Stone, LCSW

  • Social Worker
  • West Valley, UT
National Provider Identifier
1780991356
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
4829 W Odell Dr
West Valley, UT 84120-2918
Phone
(385) 832-8518
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

4829 W Odell Dr
West Valley, UT 84120-2918

Mailing address

4829 W Odell Dr
West Valley, UT 84120-2918
Phone (385) 832-8518

Other practice location 1

12587 S Fort St
Draper, UT 84020-9381
Phone (801) 203-0244

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Camille Hawkins, LLC CurrentSince Dec 1, 2022 Accepting new patients
Youth Empowerment Project LLC Past Accepting new patients
Empowerment Counseling Services Past Accepting new patients

Locations

12587 S Fort St
Draper, UT 84020
Phone (801) 203-0244

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": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1780991356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 W ODELL DR",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841202918",
            "telephone_number": "385-832-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 W ODELL DR",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841202918",
            "telephone_number": "385-832-8518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12587 S Fort St",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840209381",
            "country_code": "US",
            "telephone_number": "801-203-0244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "JENNETTE",
        "middle_name": "EILEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.