Jan R Magdalen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

135045-3501 Issued in UT

Practice address

2071 E Ashton Cir
Salt Lake City, UT 84109-1103

Phone

(801) 582-2705

Fax

(801) 582-2705

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anam Cara

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1093979379
  Authorized official Same address or phone

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1922171172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 E ASHTON CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091103",
            "telephone_number": "801-582-2705",
            "fax_number": "801-582-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 E ASHTON CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091103",
            "telephone_number": "801-582-2705",
            "fax_number": "801-582-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDALEN",
        "first_name": "JAN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "135045-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Maestas
• Rio Maestas, LCSW
• Sara Rhiannon Maestas, MSN, APRN, NP-C
• Kylee Lynn Mafi
• Keila Magafas, MD
• Trevor Magee, M.D.
• Tyler Hope Magee
• Gail A. Magid, M.D.
• Michael Kevin Magill, MD
• Kerry Magiske, DNP

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.