Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Jackson

Individual provider Clinical Social Worker · NPI 1245755800

Amanda Jackson is a Clinical Social Worker in Layton, Utah. Qualified in 2018, 8 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1660 W Antelope Dr Ste 320
Layton, UT 84041-1172
Phone: (801) 773-4840
Fax: (801) 525-8151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 934 S Main St, Layton, UT 84041-7135 — (801) 773-7060

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4959997-3501 (UT)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1245755800
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2017
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Tanner Memorial Clinic — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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