Mrs Jennifer Poulos, LCSW, LSUDC in Clearfield, UT - Medicare Social Worker Provider

Mrs Jennifer Poulos, LCSW, LSUDC is a medicare enrolled "Social Worker - Clinical" provider in Clearfield, Utah. Her current practice location is 1412 S Legend Hills Dr Ste 334, Clearfield, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 608-9966.

Mrs Jennifer Poulos is licensed to practice in Utah (license number 8139526-3501) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407153547.

Contact Information

	Mrs Jennifer Poulos, LCSW, LSUDC
	1412 S Legend Hills Dr Ste 334, Clearfield, UT 84015-1592
	(801) 608-9966
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jennifer Poulos
Gender	Female
Speciality	Social Worker - Clinical
Location	1412 S Legend Hills Dr Ste 334, Clearfield, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407153547
Provider Enumeration Date: 02/25/2011
Last Update Date: 03/26/2026

Medicare PECOS Information:

PECOS PAC ID: 9739469321
Enrollment ID: I20161219001158

Medical Identifiers

Medical identifiers for Mrs Jennifer Poulos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407153547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8139526-3501 (Utah)	Primary
101Y00000X	Counselor	(* (Not Available))	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	8139526-6006 (Utah)	Secondary
1041C0700X	Social Worker - Clinical	8139526-3506 (Utah)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jennifer Poulos allows following entities to bill medicare on her behalf.

Entity Name	Valley Mental Health Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275599797 PECOS PAC ID: 0042121196 Enrollment ID: O20031111000937

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Poulos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Jennifer Poulos, LCSW, LSUDC 131 E 2600 S, Clearfield, UT 84015-1951 Ph: (801) 608-9966	Mrs Jennifer Poulos, LCSW, LSUDC 1412 S Legend Hills Dr Ste 334, Clearfield, UT 84015-1592 Ph: (801) 608-9966

Reviews and Comments

Social Worker in Clearfield, UT

Mrs. Jeanne Marie Hansel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 466 N Main St, Clearfield, UT 84015 Phone: 801-915-0329 Fax: 801-915-0329
Mr. Jeffrey Scott Moore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 430 E 450 S, Clearfield, UT 84015 Phone: 801-540-8054 Fax: 801-776-4162
Linda Rhees, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 466 N Main St, Clearfield, UT 84015 Phone: 801-604-1316 Fax: 801-649-0964
Mr. Paul W. Dawson, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 49 E 200 S, Clearfield, UT 84015 Phone: 801-779-0095 Fax: 801-779-0255
Jay A. Eldredge, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 E 200 S, Clearfield, UT 84015 Phone: 801-779-0095
Brandy Lynn Routson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 129 S State St Ste 250, Clearfield, UT 84015 Phone: 801-855-7999 Fax: 801-855-7999
Joel Campbell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 466 N Main St Ste 210, Clearfield, UT 84015 Phone: 801-603-2547 Fax: 801-649-0964

Mrs Jennifer Poulos, LCSW, LSUDC - Medicare Clinical Social Worker in Clearfield, UT