JARED NATHANIEL POWELL (LCSW, MSW, JD) – Clinical Social Worker, NPI 1194227793

JARED NATHANIEL POWELL (LCSW, MSW, JD) is a healthcare provider. based in South jordan, Utah. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW, MSW, JD. They hold a License No. 10239101-3501 (UT). The NPI Number for JARED NATHANIEL POWELL (LCSW, MSW, JD) is 1194227793

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
JARED NATHANIEL POWELL (LCSW, MSW, JD)
NPI
1194227793
Phone
(949) 422-3775
Address
9917 S TEE BOX DR
Enumeration Date
28 February 2018
Last Update Date
18 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8014831600
Graduation Year
2002 (24 years ago)
PAC ID
2264850601
Group Practice PAC ID
2365345741
Professional Enrollment ID
I20200916001378
Address ID
UT841062522SA1208X3300300
Telehealth
Yes

Contacts

Main Contact
https://jared-powell5256.clientsecure.me
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness95
Years active:8State licenses:1Other names

965 CLINICAL SOCIAL WORKER in UT

Provider Addresses for JARED NATHANIEL POWELL (LCSW, MSW, JD)

  • 9917 S TEE BOX DR

    SOUTH JORDAN, UT 840099776

    Phone: (949) 422-3775

    Fax: (801) 876-5375

    Type: Mailing

  • 8537 S REDWOOD RD STE C1

    WEST JORDAN, UT 840884806

    Phone: (949) 422-3775

    Fax: (801) 876-5375

    Type: Location

  • COMPREHENSIVE PSYCHOLOGICAL SERVICES

    1208 3300 S

    MILLCREEK, UT 84106

    Phone: (801) 483-1600

    Type: Mailing

  • FIRST STEP HOUSE

    440 S 500 E

    SALT LAKE CITY, UT 841022705

    Phone: (801) 359-8862

    Type: Location

  • Comprehensive Psychological Services

    1208 3300 S

    Millcreek, UT 84106

    Phone: (801) 483-1600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200916001378IClinical Social WorkerUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84009)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365345741View full group profile
NameSpecialtyState
P S Y C H I A T R YUT
Clinical Social WorkerUT
P S Y C H I A T R YUT
Nurse PractitionerUT
Physician AssistantUT
Nurse PractitionerUT
Clinical Social WorkerUT
Nurse PractitionerUT
Clinical Social WorkerUT
-UT

Reviews

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Frequently asked questions

What identifier follows JARED NATHANIEL POWELL (LCSW, MSW, JD) across health systems?
The NPI 1194227793 uniquely identifies JARED NATHANIEL POWELL (LCSW, MSW, JD) in U.S. healthcare data.
Is JARED NATHANIEL POWELL (LCSW, MSW, JD) currently accepting referrals based on NPI status?
Registry metadata lists JARED NATHANIEL POWELL (LCSW, MSW, JD) as active.
What does the directory say JARED NATHANIEL POWELL (LCSW, MSW, JD) does?
Insurance directories may phrase it differently, but here JARED NATHANIEL POWELL (LCSW, MSW, JD) maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to JARED NATHANIEL POWELL (LCSW, MSW, JD)?
The directory associates JARED NATHANIEL POWELL (LCSW, MSW, JD) with South Jordan, Utah. Check all listed addresses for suites or satellite offices.
Why is information missing for JARED NATHANIEL POWELL (LCSW, MSW, JD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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