Jaclyn Andersen, CSW
NPI 1982992798ActiveIndividual· Social Worker· Logan, UT
Social Worker (CSW) in Logan, Utah, licensed in UT, with an NPI issued in July 2011. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1982992798 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CSW |
| Sole proprietor | No |
| NPI issued | Jul 13, 2011 |
| Last updated in NPPES | Jul 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 77503153502 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (UT) |
|---|
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