Brooke Jensen
Social Worker, Clinical in South Jordan, UT. Individual provider (NPI-1).
NPI number1053949552
StatusActive
Last updated in NPPESAug 2, 2022
Details
- NPI
- 1053949552
- Entity type
- Individual (NPI-1)
- Name
- Brooke Jensen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2020
- Certification date
- Aug 2, 2022
- Last updated
- Aug 2, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 9114416-3502 | UT | Yes |
Practice location
1206 W South Jordan Pkwy Ste DSouth Jordan, UT 84095-5519
Phone 801-302-3801
Mailing address
1206 W South Jordan Pkwy Ste DSouth Jordan, UT 84095-5519
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 155 Clinical Social Worker providers in South Jordan · All 1,565 providers in South Jordan
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