JORDAN CLARK ESTEBAN (NPI# 1700401767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700401767 |
| Entity Type | Individual |
| Full Name | JORDAN CLARK ESTEBAN |
| Practice Address |
440 S 500 E Salt Lake City UT 84102-2705 |
| Mailing Address |
704 E Osborne Estate Cir Draper UT 84020-8259 |
| Practice Telephone | 8013598862 |
| Mailing Telephone | 8016697908 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 11788173-3506 | UT | Behavioral Health & Social Service Providers |
| Street Address |
440 S 500 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912205824 | Jessica B. Jeffs | Counselor | 440 S 500 E, Salt Lake City, UT 84102 | 2011-03-02 |
| 1750998084 | Shasta Galyon | Peer Specialist | 440 S 500 E, Salt Lake City, UT 84102-2705 | 2020-09-30 |
| 1538772280 | Theron Ulysses Williams | Case Manager/Care Coordinator | 440 S 500 E, Salt Lake City, UT 84102-2705 | 2020-08-24 |
| 1316556806 | Sheanna Cronnelly | Case Manager/Care Coordinator | 440 S 500 E, Salt Lake City, UT 84102-2705 | 2020-07-30 |
| 1548881097 | Daysha Alayne Clukey | Licensed Practical Nurse | 440 S 500 E, Salt Lake City, UT 84102-2705 | 2020-05-06 |
| 1780216093 | David Scott Cummins | Social Worker | 440 S 500 E, Salt Lake City, UT 84102-2705 | 2020-02-05 |
| 1720619893 | John Ritter Pendergrass | Case Manager/Care Coordinator | 440 S 500 E, Salt Lake City, UT 84102-2705 | 2020-01-28 |
| 1881238608 | Alvilda Olivia Pacheco | Counselor | 440 S 500 E, Salt Lake City, UT 84102-2705 | 2019-11-05 |
| 1881237121 | Elizabeth Crawford | Marriage & Family Therapist | 440 S 500 E, Salt Lake City, UT 84102-2705 | 2019-10-18 |
| 1063067346 | Samuel Harry Van Rensburg | Nurse Practitioner | 440 S 500 E, Salt Lake City, UT 84102-2705 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417579723 | Sungmin Kim | Social Worker | 3594 S 3610 E, Salt Lake City, UT 84109-3276 | 2020-05-08 |
| 1669093043 | Gabrielle M. Kouris | Social Worker | 2872 S Highland Dr Apt Suite, Salt Lake City, UT 84106-3147 | 2020-04-27 |
| 1467083592 | Veronique Markewitz | Social Worker | 4055 S 700 E Ste 102f, Salt Lake City, UT 84107-2174 | 2020-01-28 |
| 1659902872 | Kenji Kihara Hammon | Social Worker | 660 S 200 E Ste 302, Salt Lake City, UT 84111-3846 | 2020-01-27 |
| 1427605559 | Kelsie Gauchay | Social Worker | 888 S 400 W, Salt Lake City, UT 84101-4800 | 2019-08-22 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1902379498 | Alexandra Mack | Social Worker | 2200 S State St Ste 200, Salt Lake City, UT 84115-2724 | 2019-01-07 |
| 1902377146 | Aimee Marie Nakamura | Social Worker | 81 N Capecchi Dr Fl 4, Salt Lake City, UT 84113-1125 | 2018-12-16 |
| 1568941078 | Tekla Victoria Leeann Mccabe | Social Worker | 1020 S Main St Ste 300, Salt Lake City, UT 84101-3195 | 2018-08-07 |
| 1407340805 | Lilian Lopez | Social Worker | 1141 E 3900 S Ste 250, Salt Lake City, UT 84124-1252 | 2018-06-19 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
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| 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.