Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841571353 Individual Practitioner Male Practitioner

Jacob Eugene Jacquez , LCSW

Social Worker - Clinical • Murray, UT

Professional Overview & Biography Verified Profile Summary

Jacob Jacquez, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Murray, UT. Practice services are available at 5814 S 900 E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5814 S 900 E

Murray, UT 841211644

Telephone 3858003272
Fax 3858003260
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Murray, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
188 Specialists

Practicing in Murray, UT (5603 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-06
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License UT 7915180-3501

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License WY LCSW-871

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License VA 0904013199

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License ID 4671239

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1025579 (UT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Grace Haskell , CSW

Social Worker

NPI 1144900390

Clinical Social Worker

Ana Borges De Martinez

Marriage & Family Therapist

NPI 1194065664
Thanuja Rajapakse

Social Worker

NPI 1558971192
Brenda Dowse , LCSW

Social Worker - Clinical

NPI 1821318346

Licensed Clinical Social Worker

Amanda Gonzalez , LCSW

Social Worker - Clinical

NPI 1942515317

Licensed Clinical Social Worker

Samantha Golden , LMFT, CMHC

Marriage & Family Therapist

NPI 1992217251

Licensed Marriage and Family Therapist, CMHC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location July 14, 2020

Registered at 5814 S 900 E, MURRAY, UT 841211644 (Tel: 3858003272)

📍
Updated Business Mailing Address June 03, 2019

Registered at 5814 S 900 E, MURRAY, UT 841211644 (Tel: 8015489696)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2019

Social Worker (License #LCSW-871 in WY)

📍
Updated Business Mailing Address April 17, 2018

Registered at 3804 W FAIRMOUNT CIR, WEST JORDAN, UT 84084 (Tel: 8015489696)

NPI Profile Active June 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2017

Registered at 5802 S 900 E, MURRAY, UT 841211644 (Tel: 8018344548)

📍
Updated Business Mailing Address June 09, 2017

Registered at 3804 W FAIRMOUNT CIR, WEST JORDAN, UT 840841642 (Tel: (801) 548-9696)

👤
Provider Name / Credentials Updated June 09, 2017

Recorded as JACOB JACQUEZ, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2017

Social Worker (License #7915180-3501 in UT)

NPI Profile Active March 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2016

Registered at 1180 COLLEGE DRIVE, ROCK SPRINGS, WY 82901 (Tel: 3072127782)

📍
Updated Business Mailing Address March 09, 2016

Registered at 1180 COLLEGE DRIVE, ROCK SPRINGS, WY 82901 (Tel: 3072127782)

👤
Provider Name / Credentials Updated March 09, 2016

Recorded as JACOB JACQUEZ, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2016

Social Worker (License #LCSW-871 in WY)

🟢
Initial NPI Registration & Enumeration August 30, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841571353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2011
Last Update: December 06, 2024
Sole Proprietor: No

Mailing Address

5814 S 900 E

Murray, UT 841211644

Phone: 8015489696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.