Jaclyn Randolph, in Kaysville, UT - Medicare Social Worker Provider

Jaclyn Randolph, is a medicare enrolled "Social Worker - Clinical" provider in Kaysville, Utah. Her current practice location is 375 N Main St, Kaysville, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 844-1615.

Jaclyn Randolph is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417610189.

Contact Information

	Jaclyn Randolph,
	375 N Main St, Kaysville, UT 84037-1199
	(801) 844-1615
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn Randolph
Gender	Female
Speciality	Social Worker - Clinical
Location	375 N Main St, Kaysville, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417610189
Provider Enumeration Date: 10/19/2021
Last Update Date: 10/19/2021

Medicare PECOS Information:

PECOS PAC ID: 7113369141
Enrollment ID: I20240522002948

Medical Identifiers

Medical identifiers for Jaclyn Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417610189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

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. Jaclyn Randolph is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jaclyn Randolph, 375 N Main St, Kaysville, UT 84037-1199 Ph: (801) 844-1615	Jaclyn Randolph, 375 N Main St, Kaysville, UT 84037-1199 Ph: (801) 844-1615

Reviews and Comments

Social Worker in Kaysville, UT

Camille Thea Miskin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 498 N Kays Dr, Kaysville, UT 84037 Phone: 801-525-4645
Wendi Christensen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 Houston Ct, Kaysville, UT 84037 Phone: 801-369-5029
Mr. Bernard George Vetter, MSW DCSW BCD LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 206 E Monticello Dr, Kaysville, UT 84037 Phone: 801-309-1079
Matthew Loveland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 W Center St, Kaysville, UT 84037 Phone: 801-660-5557
Mrs. Rachael Anne Jasperson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 375 N Main St Ste 202, Kaysville, UT 84037 Phone: 818-642-9397
Shawna Flinders, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 275 W 200 N Ste 7, Kaysville, UT 84037 Phone: 801-546-1300

Jaclyn Randolph, - Medicare Clinical Social Worker in Kaysville, UT