Mark Hamilton Glade, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

312261-3501 Issued in UT

Practice address

625 E 8400 S
Sandy, UT 84070-0525

Phone

(801) 566-2556

Fax

(801) 566-3926

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LDS Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sandy, UT
  • NPI 1659324572
  NPD (past)
• LDS Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Renton, WA
  • NPI 1073726485
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023069358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 CAVE HOLLOW WAY",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840101203",
            "telephone_number": "801-294-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 8400 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840700525",
            "telephone_number": "801-566-2556",
            "fax_number": "801-566-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADE",
        "first_name": "MARK",
        "middle_name": "HAMILTON",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "312261-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasidee Shae Gilmore
• Keyton R Gines, M.ED, LAT, ATC, CES
• Michael Thomas Giovanniello, MD
• Joseph Hobson Gitt, MD
• Gretchen Givone, L.M.T., C.D.T.
• Tiffany S Glasgow, MD
• Tony Holbrook Glazier II
• James Glines
• Terri Elise Goldstein, LCMHC
• Lateisha Lynn Golub

• Clinical Social Worker in Sandy, UT
• Providers in Sandy, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.