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

Jacob Eugene Jacquez, LCSW

Individual provider Clinical Social Worker · NPI 1841571353

Jacob Eugene Jacquez, LCSW is a Clinical Social Worker in Murray, Utah. Licensed in Idaho, Utah, Virginia and Wyoming. Registered with an NPI since 2011.

Licensed in
ID, UT, VA, WY
In the registry since
2011
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5814 S 900 E
Murray, UT 84121-1644
Phone: (385) 800-3272
Fax: (385) 800-3260
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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 7915180-3501 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-871 (WY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904013199 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4671239 (ID)

Record details

NPI number1841571353
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 30, 2011
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address5814 S 900 E, Murray, UT 84121-1644

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