Ejay Jack, LCSW
- Affiliated sites
- 1
- Medical group
- 1
- State licenses
- 2
- Year NPI issued
- 2021
- Practice address
- 389 S 900 E, Salt Lake City, UT 84102
- Practice phone
- Call (385) 282-2000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Salt Lake Clinic
Multi-specialty group site · Salt Lake City, Utah
Find Ejay Jack's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Ejay Jack is a clinical social worker in Salt Lake City, Utah
Ejay Jack practices at Salt Lake Clinic in Salt Lake City, Utah.
Ejay Jack's NPI, 1306500590, was assigned on October 25, 2021. Ejay Jack holds Utah license 12490452-3501.
- NPI
- 1306500590NPI Registry (opens in a new tab)
- NPI enumeration date
- October 25, 2021
- NPI status
- Active
- Practice phone
- (385) 282-2000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Ejay Jack practices at Salt Lake Clinic in Salt Lake City, Utah
Ejay Jack's primary practice is Salt Lake Clinic, at 389 S 900 E, Salt Lake City, UT 84102. The practice phone is (385) 282-2000.
- Salt Lake Clinic389 S 900 E, Salt Lake City, UT 84102Phone(385) 282-2000
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Ejay Jack is affiliated with 1 site of care and 1 medical group
Ejay Jack's primary practice is Salt Lake Clinic in Salt Lake City, Utah. The medical group on file is Intermountain Health.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Ejay Jack's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Ejay Jack practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Salt Lake Clinic | Available with a free account |
Source: Dmand AI Technology Install Data
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Ejay Jack is one of 1,456 clinical social workers in Utah
Social worker is Ejay Jack's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Dmand AI has Ejay Jack's licenses on file in 2 states: Utah and Minnesota.
Specialties and state licenses
- Clinical social worker, UtahPrimary
- Minnesota license
Clinical social workers near Ejay Jack
Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Ejay Jack's patients have a median age of 28
Across all payers, Dmand AI patient panel data puts Ejay Jack's median patient age at 28, with 0% women.
Ejay Jack's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 28
Patient panel by sex, all payers
- Women0%
- Men100%
Source: Dmand AI Patient Panel Data
Sources for Ejay Jack's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Ejay Jack
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Ejay Jack's NPI number?
Ejay Jack's NPI number is 1306500590. It was assigned on October 25, 2021, and it is active in the NPI Registry.
What does Ejay Jack specialize in?
Ejay Jack is a clinical social worker in Salt Lake City, Utah. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).
Where does Ejay Jack practice?
Ejay Jack practices at 389 S 900 E, Salt Lake City, UT 84102. Ejay Jack's primary practice is Salt Lake Clinic in Salt Lake City, Utah.
What is Ejay Jack's office phone number?
The practice phone on file for Ejay Jack is (385) 282-2000.
What is Ejay Jack's medical license number?
Ejay Jack holds Utah license 12490452-3501, one of the licenses on file in 2 states.
Which states has Ejay Jack been licensed in?
Dmand AI has state licenses on file for Ejay Jack in Utah and Minnesota.
What medical group is Ejay Jack part of?
Ejay Jack is linked to Intermountain Health.
How long has Ejay Jack been practicing?
Ejay Jack's NPI was assigned in 2021.
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