Jennifer Marie Ahlstrom, LCSW
Social Worker, Clinical in Ogden, UT. Individual provider (NPI-1).
NPI number1942932017
StatusActive
Last updated in NPPESMay 21, 2025
Details
- NPI
- 1942932017
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Marie Ahlstrom
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2022
- Certification date
- May 9, 2025
- Last updated
- May 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 13398180-3501 | UT | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
2721 Us-89 Ste#100Ogden, UT 84404
Phone 801-515-5564
Mailing address
1802 N 2500 WOgden, UT 84404-8559
Phone 801-636-1309
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