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Deactivated NPI 1144528852 Deactivated / Inactive NPI Female Practitioner

Jacquelyn Penrose

Social Worker • Provo, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacquelyn Penrose has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 03, 2011
NPI Deactivation Date April 04, 2022
Total Practice Duration ~11 Years of Practice (2011 – 2022)

Professional Overview & Biography Verified Profile Summary

Jacquelyn Penrose was a registered Social Worker practicing in Provo, UT. Throughout an active medical career spanning 11 years, Jacquelyn Penrose provided care at the practice location at 750 N 200 W until profile deactivation on 2022-04-04.

Practice Location & Contact Primary Location

Practice Address

750 N 200 W
Suite 300

Provo, UT 846011677

Telephone 8013734760
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 7.8 Yrs
Regional Practice Density
255 Specialists

Practicing in Provo, UT (1948 Statewide)

Telehealth Adoption Rate
0.0% 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

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Nicole Cossey , HSW

Case Manager/Care Coordinator

NPI 1003082793
Brent Simons

Social Worker

NPI 1003106196
Louie Hamner

Student in an Organized Health Care Education/Training Program

NPI 1003114232
Sunnie Giles

Student in an Organized Health Care Education/Training Program

NPI 1003194325
Vili Lolohea

Student in an Organized Health Care Education/Training Program

NPI 1003199191
Justine Eggleston

Social Worker - Clinical

NPI 1003266255

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 04, 2022

Record deactivated on April 04, 2022

NPI Profile Active March 03, 2011

NPI status registered as active in NPPES database

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Updated Practice Location March 03, 2011

Registered at 750 N 200 W, SUITE 300, PROVO, UT 846011677 (Tel: 8013734760)

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Updated Business Mailing Address March 03, 2011

Registered at 750 N 200 W, SUITE 300, PROVO, UT 846011677 (Tel: 8013734760)

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Provider Name / Credentials Updated March 03, 2011

Recorded as JACQUELYN PENROSE

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2011

Social Worker

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Initial NPI Registration & Enumeration March 03, 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: 1144528852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2011
Last Update: March 03, 2011
Deactivation Date: April 04, 2022

Mailing Address

750 N 200 W, Suite 300

Provo, UT 846011677

Phone: 8013734760

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.