Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316673817 Individual Practitioner Female Practitioner

Kaitlyn Jo Thackeray , CSW, CPH

Social Worker • South Jordan, UT

Professional Overview & Biography Verified Profile Summary

Kaitlyn Thackeray, CSW, CPH is a registered healthcare professional specializing in Social Worker in South Jordan, UT. Practice services are available at 11260 S RIVER HEIGHTS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11260 S River Heights Dr

South Jordan, UT 840955119

Telephone 8012982000
Associated Practice Facility / Clinic
🏢 Ocd Anxiety Centers Utah Llc Facility NPI 1134973506

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in South Jordan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.8 Yrs
Regional Practice Density
12 Specialists

Practicing in South Jordan, 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

CMS Verified: 2022-07-20
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License UT 12923253-3502

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

36 Associated Practitioners
Becky Bowman , CSW

Counselor - Mental Health

NPI 1003532896

Clinical Social Worker

Hannah Johnson , MA

Psychologist - Clinical

NPI 1073304226

Master of Arts

Karen Redd , LCMHC

Counselor - Mental Health

NPI 1114266988

Licensed Clinical Mental Health Counselor

Paula Thompson

Social Worker - Clinical

NPI 1154742682
John Lewis

Counselor - Mental Health

NPI 1184369266
Olivia Ward , CSW

Social Worker - Clinical

NPI 1225722101

Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 27, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2022

Registered at 11260 S RIVER HEIGHTS DR, SOUTH JORDAN, UT 840955119 (Tel: 8012982000)

📍
Updated Business Mailing Address July 27, 2022

Registered at 4073 S ACORD WAY, WEST VALLEY CITY, UT 841204009 (Tel: 3854498536)

👤
Provider Name / Credentials Updated July 27, 2022

Recorded as KAITLYN THACKERAY, CSW, CPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2022

Social Worker (License #12923253-3502 in UT)

🟢
Initial NPI Registration & Enumeration July 27, 2022

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: 1316673817
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2022
Last Update: July 27, 2022
Sole Proprietor: Yes

Mailing Address

4073 S Acord Way

West Valley City, UT 841204009

Phone: 3854498536

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.