Ejay Jack LCSW
About this NPIWhat this record shows.
NPI 1306500590 is registered to Ejay Jack LCSW, a Clinical Social Worker practising at 389 S 900 E in Salt Lake City, Utah. Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ejay Jack LCSW has been enumerated in the National Provider Identifier (NPI) registry since 2021.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 12490452-3501UT· Issued by STATE OF UTAH DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING, LCSW LICENSE
- 24475MN· Issued by STATE OF MINNESOTA BOARD OF SOCIAL WORK, LICSW LICENSE
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20220510001706Clinical Social WorkerUT
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ejay Jack LCSW accepts. To confirm in-network status with your specific health plan, contact Ejay Jack LCSW directly at (385) 282-2500.
Frequently asked
Yes. NPI 1306500590 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Clinical Social Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (385) 282-2500.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ejay Jack LCSW is a Type-1 individual NPI.