IndividualActive
Jennifer Johnson
NPI 1376418210 · Social Worker · South Jordan, UT
Provider details
- NPI number
- 1376418210
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sole proprietor
- No
- License
- 286905-3503 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
10619 S Jordan Gtwy Ste 205
Suite 205
South Jordan, UT 84095-3969
Phone: (801) 264-0213
Approximate (ZIP-level) locationGet directions
Mailing address
10619 S Jordan Gtwy Ste 205
South Jordan, UT 84095-3969
Registry dates
- Enumerated
- 2025-10-09
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.