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

Jedediah Rushforth, LCSW

Individual provider Clinical Social Worker · NPI 1669027702

Jedediah Rushforth, LCSW is a Clinical Social Worker in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2019.

Licensed in
UT
In the registry since
2019
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

5770 S 1500 W
Salt Lake City, UT 84123-5216
Phone: (801) 313-7770
Fax: (801) 313-7771
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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 6620938-3501 (UT)

Record details

NPI number1669027702
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 6, 2019
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

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