Individual provider Active NPI

Jason Paul Wootton, LCSW

  • Clinical Social Worker
  • Saratoga Springs, UT
National Provider Identifier
1942706080
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
307989-3501 Issued in UT
Practice address
1748 N Cozy LN
Saratoga Springs, UT 84045-6620
Phone
(801) 319-0192
NPI assigned
Apr 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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 307989-3501 UT Primary

Addresses

Primary practice location

1748 N Cozy LN
Saratoga Springs, UT 84045-6620

Mailing address

1748 N Cozy LN
Saratoga Springs, UT 84045-6620
Phone (801) 319-0192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 14, 2024 through Mar 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
307989-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Counseling Group Clinical PastSince Dec 14, 2025 Accepting new patients

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": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1942706080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 N COZY LN",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840456620",
            "telephone_number": "801-319-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 N COZY LN",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840456620",
            "telephone_number": "801-319-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTTON",
        "first_name": "JASON",
        "middle_name": "PAUL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "307989-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, UT

Sources for this page

Verify at the official NPI Registry.