Jennifer Marie Ahlstrom, LCSW
Individual provider Active NPI Clinical Social Worker · Ogden, UT
NPI 1942932017 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1942932017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 13398180-3501 (UT)
- Practice address
- 2721 US-89 Ste#100
Ogden, UT 84404 - Phone
- (801) 515-5564
- NPI assigned
- Jun 28, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13398180-3501 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 13398180-3501 | UT | Yes |
Addresses
Primary practice location
2721 US-89 Ste#100
Ogden, UT 84404
Mailing address
1802 N 2500 W
Ogden, UT 84404-8559
Phone (801) 636-1309
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.