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Provider Profile

Ejay Jack, LCSW

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At a glance

About Ejay Jack

Listed in the NPI registry as a clinical social worker, Ejay Jack, LCSW practices in Salt Lake City, UT. NPI 1306500590 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

UT licenceAs reported to the NPI registry
No. 12490452-3501As reported
MN licenceAs reported to the NPI registry
No. 24475As reported
NPINational Provider Identifier
1306500590Issued 2021

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Ejay Jack?

Ejay Jack is a clinical social worker in Salt Lake City, UT. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Ejay Jack's address?

Ejay Jack is listed at 389 S 900 E, Salt Lake City, UT 84102. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Ejay Jack?

The number on file is (385) 282-2500. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Ejay Jack's NPI number?

Ejay Jack's National Provider Identifier is 1306500590. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Ejay Jack been practicing?

Ejay Jack has 5+ years experience. Registered with an NPI since 2021. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Ejay Jack confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Ejay Jack. If this is you, claiming it is free.

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