Miss Christin Leigh Jacketta, - Clinical Social Worker in Holladay, UT

Miss Christin Leigh Jacketta, is a Social Worker - Clinical based in Holladay, Utah. Miss Christin Leigh Jacketta is licensed to practice in Utah (license number 49884373501) and her current practice location is 1338 Mossy Springs Ln, Holladay, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 915-3892.

NPI number for Miss Christin Leigh Jacketta is 1669646626 and her current mailing address is 1338 Mossy Springs Ln, Holladay, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669646626.

Contact Information

Miss Christin Leigh Jacketta,
1338 Mossy Springs Ln,
Holladay, UT 84117-4731
(801) 915-3892
Not Available



Healthcare Provider's Profile

Full NameMiss Christin Leigh Jacketta
GenderFemale
SpecialitySocial Worker - Clinical
Location1338 Mossy Springs Ln, Holladay, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669646626
  • Provider Enumeration Date: 04/21/2008
  • Last Update Date: 04/21/2008

Medical Identifiers

Medical identifiers for Miss Christin Leigh Jacketta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669646626NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 49884373501 (Utah)Primary
1041S0200XSocial Worker - School (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Christin Leigh Jacketta is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Christin Leigh Jacketta,
1338 Mossy Springs Ln,
Holladay, UT 84117-4731

Ph: (801) 915-3892
Miss Christin Leigh Jacketta,
1338 Mossy Springs Ln,
Holladay, UT 84117-4731

Ph: (801) 915-3892

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› Verified 7 days ago


Social Worker in Holladay, UT

Amy Rose White, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4500 South 2180 East, Suite 165, Holladay, UT 84117
Phone: 801-461-9060    
Camile Nielson,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4790 S Holladay Blvd, Holladay, UT 84117
Phone: 801-509-9511    
Heidi Kinnersley Chee, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2040 Murray Holladay Rd, Holladay, UT 84117
Phone: 801-256-1590    Fax: 801-272-5094
Ms. Suzanne Marie Fields, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2040 Murray Holladay Rd, Suite 222, Holladay, UT 84117
Phone: 801-808-0244    Fax: 801-278-0489
Jacob Kenison,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2046 E Murray Holladay Rd Ste 101, Holladay, UT 84117
Phone: 801-980-2566    
Jane A Weiss, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4505 Wasatch Blvd, Suite 380, Holladay, UT 84124
Phone: 801-273-7514    Fax: 801-273-7514
Dr. Debbie Lee Hippolite Wright, MSW, PHD
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4033 Milky Way, Holladay, UT 84124
Phone: 808-272-0428    

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