Jessica Walters, CSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

12890360-3502 Issued in UT

Practice address

1355 N Main St Ste 6
Bountiful, UT 84010-5982

Phone

(801) 513-1727

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Previously, effective Sep 4, 2024 through Sep 4, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Resilient Solutions, Inc.

  • Professional Counselor
  • Bountiful, UT
  • NPI 1588821011
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1821515420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 W 1340 N",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840157531",
            "telephone_number": "435-512-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N MAIN ST STE 6",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105982",
            "telephone_number": "801-513-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12222 S 1000 E",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840208278",
            "country_code": "US",
            "telephone_number": "801-987-3592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JESSICA",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "12890360-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Gail Walker, ACSM- EP, CET
• Judson B. B. Wall, DDS
• Nicole Wall, LCMHC
• Anthony R. Wallin, MD
• Jeffrey Scott Walsh
• Megan Marie Walters
• Perry T Walters, MD
• Yekaterina Walther
• Ruth Jensen Walton, MOT
• Kristine Ward, COTA

• Social Worker in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.

Verify at the official NPI Registry.