Ejay Jack, LCSW
Ejay Jack, LCSW is a Clinical Social Worker in Salt Lake City, Utah. Licensed in Minnesota and Utah. Registered with an NPI since 2021.
- Licensed in
- MN, UT
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
389 S 900 ESalt Lake City, UT 84102-2310
Phone: (385) 282-2500
Fax: (385) 282-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 12490452-3501 (UT) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 24475 (MN) |
Record details
| NPI number | 1306500590 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSW |
| Sole proprietor | No |
| NPI enumerated | October 25, 2021 |
| Last updated in NPPES | October 25, 2021 |
| Certification date | October 25, 2021 |
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Mrs. Florence W Jackson, LCSW
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Mrs. Jennifer Ann Jackson, LCSW
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