Active NPI
Jessica Lynn Clawson, CSWI
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1801526264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12829259-3506
- Practice address
- 1570 S 1100 E
Salt Lake City, UT 84105-2441 - Phone
- (801) 528-9077
- NPI assigned
- Jun 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12829259-3506 | UT | Primary |
Addresses
Primary practice location
1570 S 1100 E
Salt Lake City, UT 84105-2441
Mailing address
2150 S Main St Ste 219
South Salt Lake, UT 84115-2664
Phone (208) 681-3878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 8, 2025 through Jul 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12829259-3506 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1801526264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 S MAIN ST STE 219",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841152664",
"telephone_number": "208-681-3878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 S 1100 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841052441",
"telephone_number": "801-528-9077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAWSON",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "CSWI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-16",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12829259-3506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.