Mr Jack Davis Haden, LCSW is a
Social Worker - Clinical based in Salt Lake City, Utah. Mr Jack Davis Haden is licensed to practice in Utah (license number 8928002-3501) and his current practice location is
110 S 800 E Apt 203, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 520-6834.
NPI number for Mr Jack Davis Haden is 1821396540 and his current mailing address is 358 S 700 E Ste B127, Salt Lake City, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821396540.
Healthcare Provider's Profile
Full Name | Mr Jack Davis Haden |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 110 S 800 E Apt 203, Salt Lake City, Utah |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821396540
- Provider Enumeration Date: 03/03/2011
- Last Update Date: 07/02/2025
Medical Identifiers
Medical identifiers for Mr Jack Davis Haden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821396540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 8928002-3501 (Utah) | Primary |
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. Mr Jack Davis Haden is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jack Davis Haden, LCSW 358 S 700 E Ste B127, Salt Lake City, UT 84102-2161 Ph: (801) 382-7213 | Mr Jack Davis Haden, LCSW 110 S 800 E Apt 203, Salt Lake City, UT 84102-4145 Ph: (801) 520-6834 |
Reviews and Comments