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

Jared Johnson

Individual provider Clinical Social Worker · NPI 1073917407

Jared Johnson is a Clinical Social Worker in Provo, Utah. Qualified in 2016, 10 years ago. Practices with Wasatch Behavioral Health Special Service District, a 82-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2014
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Practice location Address checks out

151 S University Ave
Provo, UT 84601-4427
Phone: (801) 851-7127
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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

Record details

NPI number1073917407
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 14, 2014
Last updated in NPPESJune 9, 2016
Mailing address151 S University Ave, Provo, UT 84601-4427

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Wasatch Behavioral Health Special Service District — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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