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

Mr. Jacob Alton Green

Individual provider Social Worker · NPI 1760096747

Mr. Jacob Alton Green is a Social Worker in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2020.

Licensed in
UT
In the registry since
2020

Practice location Address checks out

1020 S Main St
Salt Lake City, UT 84101-3176
Phone: (888) 949-4864
Fax: (801) 373-0639
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 7450771-3503 (UT)

Record details

NPI number1760096747
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 7, 2020
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

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