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

Jenissa Nichols

Individual provider School Social Worker · NPI 1407259005

Jenissa Nichols is a School Social Worker in Orem, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1140 W 1130 S Ste B
Orem, UT 84058
Phone: (801) 935-4171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1875 S Geneva Rd, Orem, UT 84058-2217 — (801) 437-0490

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-17-27668 (UT)
School Social Worker Taxonomy 1041S0200X

Record details

NPI number1407259005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2014
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020

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