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

Kaitlyn Jo Thackeray, CSW, CPH

Individual provider Social Worker · NPI 1316673817

Kaitlyn Jo Thackeray, CSW, CPH is a Social Worker in South Jordan, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2022

Practice location Address checks out

11260 S River Heights Dr
South Jordan, UT 84095-5119
Phone: (801) 298-2000
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 12923253-3502 (UT)

Record details

NPI number1316673817
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSW , CPH
Sole proprietorYes
NPI enumeratedJuly 27, 2022
Last updated in NPPESJuly 27, 2022
Certification dateJuly 20, 2022
Mailing address4073 S Acord Way, West Valley City, UT 84120-4009

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