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

Jan Wimmer, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1689104309

Jan Wimmer, LCSW is an Addiction (Substance Use Disorder) Counselor in North Logan, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2017
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.

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Practice location Address checks out

186 E 1800 N
North Logan, UT 84341-2019
Phone: (435) 770-1429
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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 125403-3501 (UT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 125403-6008 (UT)

Record details

NPI number1689104309
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 14, 2017
Last updated in NPPESJune 14, 2017
Mailing address285 Stonehenge Dr, Providence, UT 84332-9645

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