Individual provider Active NPI

Jared Moffett, CSW

  • Social Worker
  • Eagle Mountain, UT
National Provider Identifier
1841755899
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11697902-3501 Issued in UT
Practice address
3714 E Campus Dr Ste 101
Eagle Mountain, UT 84005-5451
Phone
(801) 789-7780
NPI assigned
Feb 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 11697902-3501 UT Primary

Addresses

Primary practice location

3714 E Campus Dr Ste 101
Eagle Mountain, UT 84005-5451

Mailing address

358 S 700 E Ste B307
Salt Lake City, UT 84102-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209001312 UT Practitioner - Clinical Social Worker 2961996855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascendant Behavioral Health LLCGroup PAC ID 1850673187, 62 clinicians

Practice addresses (Care Compare)

13222 Tree Sparrow Dr
Suite R210
Riverton, UT 84096-2889
Phone (801) 872-5516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11697902-3501UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ascendant Behavioral Health LLC CurrentSince Dec 1, 2025 Accepting new patients
Darren J Gillespie LCSW, LLC CurrentSince Mar 5, 2023 Accepting new patients

Locations

3714 E Campus Dr
Ste 101
Eagle Mountain, UT 84005
Phone (801) 789-7780

3051 W Maple Loop Dr
Ste 210
Lehi, UT 84048
Phone (801) 502-3913

13222 Tree Sparrow Dr
Ste R210
Riverton, UT 84096

Organizations & group practices 2

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1841755899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 S 700 E STE B307",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 E CAMPUS DR STE 101",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055451",
            "telephone_number": "801-789-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "JARED",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "11697902-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

Verify at the official NPI Registry.