Individual provider · Type 1 NPI

Jacob Eugene Jacquez, LCSW

Clinical Social Worker · Murray, UT

NPI number 1841571353 Active

Practice location

5814 S 900 E
Murray, UT 84121-1644

Fax (385) 800-3260

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCSW-871 (WY)
Clinical Social Worker 1041C0700X0904013199 (VA)
Clinical Social Worker 1041C0700X4671239 (ID)
Clinical Social Worker Primary 1041C0700X7915180-3501 (UT)

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 1841571353

Jacob Eugene Jacquez, LCSW's National Provider Identifier is 1841571353, issued on Aug 30, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Murray, UT. The record was last updated on Dec 6, 2024.