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

Mrs. Kelli Clark Jacobsen, LCSW

Individual provider Clinical Social Worker · NPI 1871636043

Mrs. Kelli Clark Jacobsen, LCSW is a Clinical Social Worker in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
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

450 S 900 E Ste 300
Salt Lake City, UT 84102-3064
Phone: (801) 534-7916
Fax: (801) 532-3608
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 6953774-3501 (UT)

Record details

NPI number1871636043
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 15, 2007
Last updated in NPPESOctober 18, 2010

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