Active NPI
Gloria Jensen, LCSW
- Clinical Social Worker
- West Jordan, UT
National Provider Identifier
1942592282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 359009-3501
- Practice address
- 9263 Redwood Rd
BLDG 8 Ste B
West Jordan, UT 84088-6571 - Phone
- (801) 566-0749
- Fax
- (801) 566-7108
- NPI assigned
- May 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 359009-3501 | UT | Primary |
Addresses
Primary practice location
9263 Redwood Rd
BLDG 8 Ste B
West Jordan, UT 84088-6571
Mailing address
2802 Valley View Avenue
Salt Lake City, UT 84117
Phone (801) 574-5356
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 359009-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499299200000",
"number": "1942592282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2802 VALLEY VIEW AVENUE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84117",
"telephone_number": "801-574-5356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9263 REDWOOD RD",
"address_2": "BLDG 8 STE B",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840886571",
"telephone_number": "801-566-0749",
"fax_number": "801-566-7108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "GLORIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-04",
"last_updated": "2017-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "359009-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.