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

Kennedy Garland Jackson

Individual provider Social Worker · NPI 1063338572

Kennedy Garland Jackson is a Social Worker in Draper, Utah. Practices as a sole proprietor. Licensed in Texas and Utah.

Licensed in
TX, UT
In the registry since
2026
Specialties on file
2

Practice location Address checks out

12595 S Minuteman Dr
Draper, UT 84020-9541
Phone: (801) 882-2618
Fax: (801) 882-2618
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 14190701-3501 (UT)
Social Worker Taxonomy 104100000X · Licence 114219 (TX)

Record details

NPI number1063338572
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 29, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 28, 2026

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