Active NPI
Taylor Day Jonaitis, LCSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1972015196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12201234-3501
- Practice address
- 2150 S 1300 E Ste 500
Salt Lake City, UT 84106-4375 - Phone
- (385) 262-4048
- Fax
- (801) 303-7319
- NPI assigned
- Oct 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | 12201234-3501 | UT | Primary |
Addresses
Primary practice location
2150 S 1300 E Ste 500
Salt Lake City, UT 84106-4375
Mailing address
772 E 4125 S
Salt Lake City, UT 84107-3035
Phone (801) 349-5667
Other practice location 1
344 E 100 S Ste 301
Salt Lake City, UT 84111-1727
Phone (801) 428-4257
Other practice location 2
344 E 100 S Ste 301
Salt Lake City, UT 84111-1727
Phone (801) 428-4257
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 |
|---|---|---|---|
| 12201234-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1972015196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "772 E 4125 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841073035",
"telephone_number": "801-349-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 S 1300 E STE 500",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841064375",
"telephone_number": "385-262-4048",
"fax_number": "801-303-7319"
}
],
"practiceLocations": [
{
"address_1": "344 E 100 S Ste 301",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841111727",
"country_code": "US",
"telephone_number": "801-428-4257",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "344 E 100 S Ste 301",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841111727",
"country_code": "US",
"telephone_number": "801-428-4257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONAITIS",
"first_name": "TAYLOR",
"middle_name": "DAY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-27",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12201234-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.