Individual provider Active NPI

Jeness L Woodard, L.C.S.W.

  • Clinical Social Worker
  • Orem, UT
National Provider Identifier
1881031771
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
79455973501 Issued in UT
Practice address
145 W University Pkwy
Orem, UT 84058-7316
Phone
(801) 234-8600
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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 79455973501 UT Primary

Addresses

Primary practice location

145 W University Pkwy
Orem, UT 84058-7316

Mailing address

145 W University Pkwy
Orem, UT 84058-7316
Phone (801) 234-8600

Other practice location 1

3521 N University Ave
Suite 175
Provo, UT 84604-4418
Phone (801) 377-2014

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
79455973501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Honeybee Counseling and Wellness Center Clinical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeness.woodard@489656322949124.direct.elationemr.com

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1881031771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W UNIVERSITY PKWY",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840587316",
            "telephone_number": "801-234-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W UNIVERSITY PKWY",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840587316",
            "telephone_number": "801-234-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3521 N University Ave",
            "address_2": "Suite 175",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846044418",
            "country_code": "US",
            "telephone_number": "801-377-2014",
            "fax_number": "801-374-7449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "JENESS",
        "middle_name": "L",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "79455973501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.