Individual provider Active NPI

Jayne Ann Sumner, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1861820813
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10389114-3501 Issued in UT
Practice address
350 E 400 S # 318
Salt Lake City, UT 84111-2993
Phone
(435) 241-2857
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10389114-3501 UT Primary

Addresses

Primary practice location

350 E 400 S # 318
Salt Lake City, UT 84111-2993

Mailing address

350 E 400 S # 318
Salt Lake City, UT 84111-2993
Phone (801) 413-3740

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
I20190625003421 UT Practitioner - Clinical Social Worker 0648504654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2150 S 1300
Suite 500
Salt Lake City, UT 84106-4375
Phone 8014133740801931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Skies Counseling Clinical CurrentSince Mar 5, 2020 Accepting new patients

Locations

350 E 400 S
#318
Salt Lake City, UT 84111
Phone (801) 413-3740

2150 S 1300 E
Ste 500
Salt Lake City, UT 84106
Phone (303) 748-5781

350 E 400 S
Ste 318
Salt Lake City, UT 84111

Organizations & group practices 1

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": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1861820813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 400 S # 318",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112993",
            "telephone_number": "801-413-3740",
            "fax_number": "801-931-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 400 S # 318",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112993",
            "telephone_number": "435-241-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "JAYNE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10389114-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.