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

MS. Stacey Jackson-Roberts, LCSW-C

Individual provider Clinical Social Worker · NPI 1497127419

MS. Stacey Jackson-Roberts, LCSW-C is a Clinical Social Worker in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Maryland and Utah.

Licensed in
MD, UT
In the registry since
2015
Specialties on file
2

Practice location Address checks out

570 S 300 W Unit S325
Salt Lake City, UT 84101-2528
Phone: (424) 320-0929
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 12464906-3501 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 19464 (MD)

Record details

NPI number1497127419
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedOctober 29, 2015
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

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