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

Jeremy Dylan Rodgers, MASTERSSTUDENT

Individual provider Clinical Social Worker · NPI 1356116446

Jeremy Dylan Rodgers, MASTERSSTUDENT is a Clinical Social Worker in Provo, Utah. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3585 N University Ave Ste 275
Provo, UT 84604-6632
Phone: (801) 921-8661
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1356116446
Entity typeIndividual (Type 1)
GenderMale
Credentials MASTERSSTUDENT
Sole proprietorNo
NPI enumeratedNovember 17, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

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