STACIE JACOBSON (NPI# 1972950145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972950145 |
| Entity Type | Individual |
| Full Name | STACIE JACOBSON |
| Practice Address |
879 S Orem Blvd Ste 1 Orem UT 84058-5030 |
| Practice Telephone | 8018018608 |
| Mailing Telephone | 8018018608 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
UT | Behavioral Health & Social Service Providers |
| Street Address |
879 S OREM BLVD STE 1 |
| City | OREM |
| State | UT |
| Zip Code | 84058-5030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540372 | Kimberly S Millett | Counselor | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2020-08-28 |
| 1184237711 | Caitlin Nicole Bailey | Student in an Organized Health Care Education/Training Program | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2020-08-24 |
| 1114539855 | Zera Logan Staheli | Counselor | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2020-08-22 |
| 1467064105 | Denisse Heredia | Social Worker | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2020-08-22 |
| 1386266799 | Mackenzie Raey Pranger | Social Worker | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2020-05-08 |
| 1295357630 | Kristina Amber Smith | Social Worker | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2020-05-07 |
| 1699323550 | Scott Eyre | Social Worker | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2019-09-03 |
| 1972151744 | Luann May Isbell | Social Worker | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2019-08-26 |
| 1417505280 | Jordon Kamakilaonalani Ciriako | Social Worker | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2019-08-26 |
| 1831751767 | Thomas Joseph Thomas | Counselor | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2019-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| Find all providers in zip 84058 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730612367 | Andrea Draudt | Social Worker | 396 Foxmoor Dr, Orem, UT 84057-3875 | 2017-04-10 |
| 1407259005 | Jenissa Nichols | Social Worker | 1140 W 1130 S Suite B, Orem, UT 84058 | 2014-09-27 |
| 1699323550 | Scott Eyre | Social Worker | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2019-09-03 |
| 1972151744 | Luann May Isbell | Social Worker | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2019-08-26 |
| 1417505280 | Jordon Kamakilaonalani Ciriako | Social Worker | 879 S Orem Blvd Ste 1, Orem, UT 84058-5030 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861041576 | Evans Weiss, LLC | Social Worker | 2895 S 1400 E, Salt Lake City, UT 84106-3438 | 2019-09-05 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1043790991 | Stephanie Wright | Social Worker | 151 S University Ave Ste 1400, Provo, UT 84601-4427 | 2018-08-20 |
| 1003367871 | Shanell Tuitele | Social Worker | 777 W 200 S, Provo, UT 84601-4061 | 2016-10-17 |
| 1154773562 | Emily Nielsen | Social Worker | 1246 N 100 W, American Fork, UT 84003-2708 | 2016-07-08 |
| 1104278969 | Jennifer Foy | Social Worker | 46 W 300 S, Springville, UT 84663-1329 | 2016-07-05 |
| 1073962924 | Orlando Avila | Social Worker | 7987 W Maia Cir, Magna, UT 84044-4406 | 2016-06-10 |
| 1205296266 | Sterling Sims | Social Worker | 1960 N Canyon Rd, Provo, UT 84604-1611 | 2016-03-02 |
| 1417326877 | Camille Anderson | Social Worker | 609 N 200 W, Heber City, UT 84032-1447 | 2015-09-16 |
| 1285016568 | Kaylee Au | Social Worker | 525 S 1500 E, Provo, UT 84606-5330 | 2015-06-23 |
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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.