Jackson James David, MSW,CSW,TRS,CTRS,
NPI 1790585792ActiveIndividual· Social Worker· Hurricane, UT
Social Worker (MSW,CSW,TRS,CTRS,) in Hurricane, Utah, licensed in UT, with an NPI issued in March 2025.
Overview
| NPI | 1790585792 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW,CSW,TRS,CTRS, |
| Sole proprietor | No |
| NPI issued | Mar 18, 2025 |
| Last updated in NPPES | Mar 18, 2025 |
| Certified by provider | Mar 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 122624373502 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Social Worker providers in Hurricane
- 1790527778
- 1558679621
- 1407671050