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JEDEDIAH RUSHFORTH LCSW
NPI 1669027702
Social Worker - Clinical in Salt Lake City, UT

Active since August 06, 2019PECOS Enrolled
5770 S 1500 W, SALT LAKE CITY, UT 84123(801) 313-7770(801) 313-7771 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2025, May 9, 2024, Aug 6, 2019 (3 updates tracked since 2019).

About Jedediah Rushforth Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEDEDIAH RUSHFORTH LCSW (NPI 1669027702) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (6620938-3501) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669027702
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEDEDIAH RUSHFORTHCredential: LCSW
Location Address5770 S 1500 WSalt Lake City, UT 84123-5216
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 313-7770
Fax(801) 313-7771
Sole ProprietorNo
Enumeration DateAugust 6, 2019
Last NPPES UpdateMay 22, 20253 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1669027702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 6620938-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5770 S 1500 W, Salt Lake City, UT 84123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jedediah Rushforth Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICIA KATHLEEN FAWSON APRN, DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (385) 478-2000
MRS. PAIGE JOLYNN STODTMEISTER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (801) 313-7711
RACHEL WINWARD LCSW
Social Worker (Clinical)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (801) 313-7770
IHC HEALTH SERVICES INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (801) 313-7770
ANNA VLADIMIROVNA KASABYAN APRN
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (801) 313-7770
NANCY N CANNON LCSW
Social Worker (Clinical)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (801) 265-3000
AMY KATHERYN PARRY DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5770 S 1500 W
SALT LAKE CITY, UT 84123
Salt Lake County (801) 265-3412
CLAIRE R STOECKER LCSW
Social Worker (Clinical)
5770 S 1500 W
TAYLORSVILLE, UT 84123
Salt Lake County (801) 265-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jedediah Rushforth's NPI number?

The NPI number for Jedediah Rushforth is 1669027702. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Jedediah Rushforth located?

Jedediah Rushforth practices at 5770 S 1500 W, Salt Lake City, UT 84123. The listed phone number is (801) 313-7770.

What is Jedediah Rushforth's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jedediah Rushforth enrolled in Medicare?

Yes. Jedediah Rushforth is registered in the Medicare PECOS enrollment system.

What insurance does Jedediah Rushforth accept?

Health plans from Select Health list Jedediah Rushforth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jedediah Rushforth was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.