Individual provider · NPI-1

Jacob Charles Calder, CSW

Social Worker, Clinical · Kaysville, UT

NPI number1629964838
StatusActive
Last updated in NPPESJun 16, 2025

Details

NPI
1629964838
Entity type
Individual (NPI-1)
Name
Jacob Charles Calder
Credential
CSW
Sex
Male
Sole proprietor
No
Enumeration date
Jun 16, 2025
Certification date
Jun 15, 2025
Last updated
Jun 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical14222743-3502UTYes

Practice location

845 W 200 N
Kaysville, UT 84037-2406

Phone 801-872-6426

Mailing address

7313 W Afterglow Ln
West Valley City, UT 84081-1206

Phone 859-221-0013

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