Jaclyn Randolph
NPI 1417610189 · Clinical Social Worker · Kaysville, UT
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaclyn Randolph is a Clinical Social Worker provider in Kaysville, UT (NPI 1417610189).
Provider details
- NPI number
- 1417610189
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-10-19
- Last updated
- 2021-10-19
- Certified
- 2021-10-19
Frequently asked questions
- What is Jaclyn Randolph's NPI number?
- Jaclyn Randolph's National Provider Identifier (NPI) is 1417610189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclyn Randolph's specialty?
- Jaclyn Randolph is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jaclyn Randolph located?
- Jaclyn Randolph's practice location on file with NPPES is 375 N Main St, Kaysville, UT 84037-1199.
- What is Jaclyn Randolph's phone number?
- The practice phone number listed in the NPPES registry for Jaclyn Randolph is (801) 844-1615.
- Does Jaclyn Randolph accept Medicare?
- Jaclyn Randolph is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaclyn Randolph's NPI active?
- Yes — Jaclyn Randolph's NPI (1417610189) is active in the NPPES registry as of the last update on 2021-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.