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

Mark Jardine, LCSW

Individual provider Clinical Social Worker · NPI 1396719852

Mark Jardine, LCSW is a Clinical Social Worker in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1020 S Main St Ste 300
Salt Lake City, UT 84101-3176
Phone: (801) 536-6523
Fax: (801) 536-6520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 911331923501 (UT)

Record details

NPI number1396719852
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESJuly 13, 2026

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