Individual provider · Type 1 NPI
Jack Davis Haden, LCSW
Clinical Social Worker · Salt Lake City, UT
Practice location
607 S Park St Apt 8
Salt Lake City, UT 84102-3365
Mailing address
358 S 700 E Ste B127
Salt Lake City, UT 84102-2161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 8928002-3501 (UT) |
| Counselor | 101Y00000X | None listed |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1821396540
Jack Davis Haden, LCSW's National Provider Identifier is 1821396540, issued on Mar 3, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 19, 2026.