Jacob Vickrey, LCSW

NPI 1053889501 · on the registry since 2018 · sole proprietor

Practice

Address: 11748 S 3600 W Ste 3
South Jordan, UT 84095
Phone: (801) 896-8133
Organisation at this address: Live Well Counseling Services Pllc
Southwest Oral And Facial Surgery Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah