Healthcare Provider Details

I. General information

NPI: 1396421418
Provider Name (Legal Business Name): ALESHIA C JEX CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9844 S 1300 E STE 250
SANDY UT
84094-4691
US

IV. Provider business mailing address

2660 E 2900 S
SALT LAKE CITY UT
84109-1843
US

V. Phone/Fax

Practice location:
  • Phone: 801-810-5037
  • Fax: 801-893-2635
Mailing address:
  • Phone: 801-232-4482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number10534767-4002
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: