Mrs Jessica Lacey Fisher Champlin, LCSW - Clinical Social Worker in Woods Cross, UT

Mrs Jessica Lacey Fisher Champlin, LCSW is a Social Worker - Clinical based in Woods Cross, Utah. Mrs Jessica Lacey Fisher Champlin is licensed to practice in Utah (license number 10853410-3501) and her current practice location is 1290 S 500 W Ste 300, Woods Cross, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 215-9575.

NPI number for Mrs Jessica Lacey Fisher Champlin is 1851822464 and her current mailing address is 553 N 190 E, North Salt Lake, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851822464.

Contact Information

Mrs Jessica Lacey Fisher Champlin, LCSW
1290 S 500 W Ste 300,
Woods Cross, UT 84010-8104
(801) 215-9575
(833) 904-1668

Map and Direction




Healthcare Provider's Profile

Full NameMrs Jessica Lacey Fisher Champlin
GenderFemale
SpecialitySocial Worker - Clinical
Location1290 S 500 W Ste 300, Woods Cross, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851822464
  • Provider Enumeration Date: 03/24/2017
  • Last Update Date: 06/06/2023

Medical Identifiers

Medical identifiers for Mrs Jessica Lacey Fisher Champlin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851822464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 10853410-3501 (Utah)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. Mrs Jessica Lacey Fisher Champlin 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
Mrs Jessica Lacey Fisher Champlin, LCSW
553 N 190 E,
North Salt Lake, UT 84054-2200

Ph: (801) 215-9575
Mrs Jessica Lacey Fisher Champlin, LCSW
1290 S 500 W Ste 300,
Woods Cross, UT 84010-8104

Ph: (801) 215-9575

Reviews and Comments


Social Worker in Woods Cross, UT

Ms. Sandra Jean Marx, MSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1492 S 800 W, Suite J, Woods Cross, UT 84087
Phone: 801-294-5224    Fax: 801-294-5269
Rebecca W Kohler, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1576 S 500 W Ste 202, Woods Cross, UT 84010
Phone: 801-406-9002    
Mark Dale, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 576 W 900 S, Woods Cross, UT 84010
Phone: 801-397-4166    
Mrs. Mikelle Mitzi Wrobel, SSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 763 W 700 S, Woods Cross, UT 84087
Phone: 801-292-2318    Fax: 801-295-2556
Mr. Christopher Mark Tippets, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 592 W 1350 S, Woods Cross, UT 84010
Phone: 801-299-5317    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.