Jaqueline Pack, LCSW

Clinical Social Worker · Farmington, UT

Individual Active NPI

NPI number 1235289380

Practice location

1466 N Highway 89 Ste 220
Farmington, UT 84025-2738
Phone
(801) 451-0475

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NPI record

NPI
1235289380
Entity type
Individual (Type 1)
Enumeration date
January 11, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 3158913501 UT

Mailing address

273 N 2975 W
Layton, UT 84041-8835
Phone
(801) 628-6344

About Jaqueline Pack

Jaqueline Pack, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1466 N Highway 89 Ste 220, Farmington, UT 84025-2738. The NPI number 1235289380 was assigned on January 11, 2007 and the record was last updated on July 8, 2007.

Jaqueline Pack lists a license in the registry: #3158913501 (UT) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jaqueline Pack, LCSW?

The NPI number is 1235289380.

What is the phone number of Jaqueline Pack?

The phone number listed for the practice location is (801) 451-0475.

Where is Jaqueline Pack located?

1466 N Highway 89 Ste 220, Farmington, UT 84025-2738.

What is the taxonomy code for Jaqueline Pack?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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