MR. JEREMY LEE CHRISTENSEN (NPI# 1205812450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205812450 |
| Entity Type | Individual |
| Full Name | MR. JEREMY LEE CHRISTENSEN |
| Credential | LCSW |
| Practice Address |
1724 S Main St Salt Lake City UT 84115-1912 |
| Mailing Address |
5817 Sunny Stone Cir South Jordan UT 84095-8077 |
| Practice Telephone | 8014865012 |
| Practice Fax Number | 8014665077 |
| Mailing Telephone | 8014193192 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
47819673501 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | BLUE CROSS | 47819673500001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356512560 | Jeremy Cade Christensen | Podiatrist | 3740 Dacoro Ln, Suite 105, Castle Rock, CO 80109-2503 | 2008-03-14 |
| 1295817377 | Jeremy H Christensen | Physical Therapist | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2006-10-19 |
| Street Address |
1724 S MAIN ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041255 | Robert Drayna | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2020-07-27 |
| 1477193597 | Michael Andrew Peck | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2020-01-07 |
| 1811554264 | Jarrod Gardner | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2019-05-21 |
| 1942793328 | Margaret Falcone | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-06-11 |
| 1487147765 | Kerry Splitt | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-06-11 |
| 1750874137 | Sarah Rebecca Dash | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-06-11 |
| 1558858407 | Eryn Wade | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-04-17 |
| 1114425071 | Maria Angelica Speed | Counselor | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-01-25 |
| 1033585765 | Alliance House Inc | Clinic/Center | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2015-08-17 |
| 1104124882 | Amber Mackay | Counselor | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2011-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606763 | Eric Jeffrey Hales | Social Worker | 352 S Denver St Ste 350, Salt Lake City, UT 84111-3059 | 2020-10-14 |
| 1700490067 | Open Arms Youth and Adult Services | Social Worker | 3007 S West Temple Ste J, Salt Lake City, UT 84115-6701 | 2020-09-03 |
| 1275147019 | Libby Rae Hughes | Social Worker | 1170 S Foothill Dr Apt 323, Salt Lake City, UT 84108-1955 | 2020-08-31 |
| 1881206910 | Christine Madden | Social Worker | 699 E South Temple Ste 300a, Salt Lake City, UT 84102-1188 | 2020-08-19 |
| 1003428566 | Laura Marie Baumgart | Social Worker | 1390 S 1100 E Ste 204, Salt Lake City, UT 84105-2463 | 2020-08-17 |
| 1851901193 | Angelique Colemere | Social Worker | 1399 S 700 E Ste 16, Salt Lake City, UT 84105-2170 | 2020-08-02 |
| 1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
| 1619586856 | Layne Gerry Daybell | Social Worker | 136 E South Temple, Salt Lake City, UT 84111-1180 | 2020-07-23 |
| 1043829328 | Christopher Wesley Pace | Social Worker | 2000 Circle of Hope Dr Rm 2840, Salt Lake City, UT 84112-5550 | 2020-07-23 |
| 1962028795 | Amy Lynn Horyna | Social Worker | 1950 Circle of Hope Dr Rm 2935, Salt Lake City, UT 84112-5500 | 2020-06-17 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
Please comment or provide details below to improve the information on MR. JEREMY LEE CHRISTENSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.