Individual provider Active NPI

Mitchell Jeffrey Garets, CSW

  • Clinical Social Worker
  • Sandy, UT
National Provider Identifier
1003572918
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12343304-3502 Issued in UT
Practice address
47 W 9000 S Ste 1
Sandy, UT 84070-2043
Phone
(801) 792-1150
NPI assigned
Nov 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12343304-3502 UT Primary

Addresses

Primary practice location

47 W 9000 S Ste 1
Sandy, UT 84070-2043

Mailing address

4205 S Sunset View Dr
Millcreek, UT 84124-3251
Phone (801) 599-9781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12343304-3502UTMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1003572918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 S SUNSET VIEW DR",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841243251",
            "telephone_number": "801-599-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W 9000 S STE 1",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702043",
            "telephone_number": "801-792-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARETS",
        "first_name": "MITCHELL",
        "middle_name": "JEFFREY",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12343304-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.