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NPI 1164966008ActiveOrganization· Social Worker, Clinical· Sandy, UT

Social Worker, Clinical in Sandy, Utah, registered in NPPES in December 2016. The authorized official on file is Jay Bladen, Director Of Operations.

Overview

NPI1164966008
StatusActive
Entity typeOrganization
NPI issuedDec 12, 2016
Last updated in NPPESOct 27, 2026
Certified by providerOct 27, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other clinical social workers in Sandy

All 186 clinical social workers in Sandy · All clinical social workers in Utah