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

Jaclyn Randolph

Individual provider Clinical Social Worker · NPI 1417610189

Jaclyn Randolph is a Clinical Social Worker in Kaysville, Utah. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

375 N Main St
Kaysville, UT 84037-1199
Phone: (801) 844-1615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1417610189
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 19, 2021
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021
Mailing address375 N Main St, Kaysville, UT 84037-1199

Other providers in Kaysville