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

Mr. Jack Davis Haden, LCSW

Individual provider Counselor · NPI 1821396540

Mr. Jack Davis Haden, LCSW is a Counselor in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011
Specialties on file
2
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

110 S 800 E Apt 203
Salt Lake City, UT 84102-4145
Phone: (801) 520-6834
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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 8928002-3501 (UT)
Counselor Taxonomy 101Y00000X

Record details

NPI number1821396540
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 3, 2011
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

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