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

Jerad Todacheenie, CSW

Individual provider Clinical Social Worker · NPI 1508510769

Jerad Todacheenie, CSW is a Clinical Social Worker in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2022

Practice location Address checks out

120 W 1300 S
Salt Lake City, UT 84115-5230
Phone: (801) 214-7676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11935171-3502 (UT)

Record details

NPI number1508510769
Entity typeIndividual (Type 1)
GenderMale
Credentials CSW
Sole proprietorYes
NPI enumeratedFebruary 7, 2022
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022

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