Individual provider Active NPI

Taylor Day Jonaitis, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1972015196
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12201234-3501 Issued in UT
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

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
12201234-3501UTMDClinical 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.

Verify at the official NPI Registry.