Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. STACEY JACKSON-ROBERTS, LCSW-C
Active Sole ProprietorMS. STACEY JACKSON-ROBERTS, LCSW-C is a Clinical Social Worker healthcare provider located in SALT LAKE CITY, Utah. NPI 1497127419 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1497127419
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2015 (10.761090865679 yrs)
- Last Updated
- Apr 16, 2024
- Licenses
-
19464 (MD)12464906-3501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
570 S 300 W UNIT S325SALT LAKE CITY, UT, 841012528Browse UT providers · Browse ZIP 84101
- Phone
- 4243200929
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| RODERICK VERNE JOHNSON | LCSW | 1780672915 |
| EDNA MERRY WILCOCK | R.N., L.C.S.W. | 1194714766 |
| MS. MABEL ANN JENTZSCH | L.C.S.W. | 1326020512 |
| MR. DAVID GARY ELDREDGE | LCSW | 1699758342 |
| MR. CORY MELVIN SHIPP | LCSW | 1609850221 |
| MRS. SANDRA KAY VARLEY | LCSW | 1083699565 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.