MRS. KELLI CLARK JACOBSEN LCSW
NPI 1871636043
Social Worker - Clinical in Salt Lake City, UT

Active since February 15, 2007
450 S 900 E STE 300, SALT LAKE CITY, UT 84102(801) 534-7916(801) 532-3608 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelli Clark Jacobsen Lcsw NPPES

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

MRS. KELLI CLARK JACOBSEN LCSW (NPI 1871636043) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (6953774-3501) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1871636043
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KELLI CLARK JACOBSENCredential: LCSW
Location Address450 S 900 E STE 300Salt Lake City, UT 84102-3064
Mailing Address450 S 900 E Ste 300Salt Lake City, UT 84102-3064 · (801) 534-7916 · Fax (801) 532-3608
Fax(801) 532-3608
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateOctober 18, 2010
NPI 1871636043 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 · 6953774-3501
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.
450 S 900 E STE 300, Salt Lake City, UT 84102

Other Providers at the Same Location NPPES 6

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

Counselor (Professional)
450 S 900 E STE 300
SALT LAKE CITY, UT 84102
Social Worker
450 S 900 E STE 300
SALT LAKE CITY, UT 84102
Social Worker (Clinical)
450 S 900 E STE 300
SALT LAKE CITY, UT 84102
Social Worker (Clinical)
450 S 900 E STE 300
SALT LAKE CITY, UT 84102
Social Worker (Clinical)
450 S 900 E STE 300
SALT LAKE CITY, UT 84102
Social Worker (Clinical)
450 S 900 E STE 300
SALT LAKE CITY, UT 84102

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 Kelli Jacobsen's NPI number?

The NPI number for Kelli Jacobsen is 1871636043. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Kelli Jacobsen located?

Kelli Jacobsen practices at 450 S 900 E Ste 300, Salt Lake City, UT 84102. The listed phone number is (801) 534-7916.

What is Kelli Jacobsen's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelli Jacobsen was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.