IndividualActive
Jaci Faulkner
NPI 1619648615 · Clinical Social Worker · Clinton, UT
Provider details
- NPI number
- 1619648615
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 13403293-3501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1477 N 2000 W
Clinton, UT 84015-8638
Phone: (801) 773-4840
Fax: (801) 525-8151
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 337
Layton, UT 84041-0337
Registry dates
- Enumerated
- 2021-09-21
- Last updated
- 2025-04-14
- Certified
- 2025-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.