1306500590 Ejay Jack, LCSW
Clinical Social Worker
Active
Basic Information
- Full Name
- Ejay Jack, LCSW
- Gender
- Male
- Enumeration Date
- October 25, 2021
- Last Update
- October 25, 2021
Practice Location
- Address
- 389 S 900 E
SALT LAKE CITY, UT 841022310 - Phone
- (385) 282-2500
- Fax
- (385) 282-2501
Mailing Address
- Address
- 389 S 900 E
SALT LAKE CITY, UT 841022310 - Phone
- (385) 282-2500
- Fax
- (385) 282-2501
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Clinical Social Worker Clinical | 1041C0700X | Social Worker | 24475 | MN | No |
| Clinical Social Worker Clinical | 1041C0700X | Social Worker | 12490452-3501 | UT | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12490452-3501 | 01 | UT | STATE OF UTAH DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING, LCSW LICENSE |
| 24475 | 01 | MN | STATE OF MINNESOTA BOARD OF SOCIAL WORK, LICSW LICENSE |
Digital Endpoints
CONNECT Use: DIRECT
https://intermountainhealthcare.org/
Intermountain Healthcare Salt Lake Clinic
Frequently Asked Questions
What is Ejay Jack, LCSW's NPI number?
Ejay Jack, LCSW's NPI number is 1306500590.
Which doctor has NPI number 1306500590?
The doctor with NPI number 1306500590 is Ejay Jack, LCSW.
What is Ejay Jack, LCSW's practice address?
Ejay Jack, LCSW's practice address is 389 S 900 E, SALT LAKE CITY, UT, 841022310.
Which doctor practices at 389 S 900 E, SALT LAKE CITY, UT, 841022310?
Ejay Jack, LCSW practices at 389 S 900 E, SALT LAKE CITY, UT, 841022310.
What is Ejay Jack, LCSW's phone number?
Ejay Jack, LCSW's phone number is (385) 282-2500.
Who is (385) 282-2500?
(385) 282-2500 is the phone number for Ejay Jack, LCSW.
What is Ejay Jack, LCSW's specialty?
Ejay Jack, LCSW's specialty is Clinical Social Worker.
What type of doctor is Ejay Jack, LCSW?
Ejay Jack, LCSW is a Clinical Social Worker.
Is Ejay Jack, LCSW a Clinical?
Yes, Ejay Jack, LCSW is a Clinical.
Is Ejay Jack, LCSW still practicing?
Yes, Ejay Jack, LCSW is currently practicing.
Is Ejay Jack, LCSW accepting new patients?
Ejay Jack, LCSW may be accepting new patients. Please call their office at (385) 282-2500 to inquire about availability.
Is NPI 1306500590 still active?
Yes, NPI 1306500590 is currently active.
Where does Ejay Jack, LCSW practice?
Ejay Jack, LCSW practices in SALT LAKE CITY, UT.
Is Ejay Jack, LCSW a male or female doctor?
Ejay Jack, LCSW is a male doctor.