Active NPI
Daniel Joseph Gray
- Clinical Social Worker
- Cottonwood Heights, UT
National Provider Identifier
1043032923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11923845-3501
- Practice address
- 2450 E Fort Union Blvd
Cottonwood Heights, UT 84121-3337 - Phone
- (801) 669-5888
- Fax
- (801) 669-5889
- NPI assigned
- Oct 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 11923845-3501 | UT | Primary |
Addresses
Primary practice location
2450 E Fort Union Blvd
Cottonwood Heights, UT 84121-3337
Mailing address
2450 E Fort Union Blvd
Cottonwood Heights, UT 84121-3337
Phone (801) 669-5888
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11923845-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilltop Medical Clinic, LLC | Past | Accepting new patients | |
| New Roads Foundation | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Addiction (Substance Use Disorder) Psychologist
- Cottonwood Heights, UT
- NPI 1255860250
-
- Clinical Social Worker
- Provo, UT
- NPI 1669328324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1043032923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 E FORT UNION BLVD",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841213337",
"telephone_number": "801-669-5888",
"fax_number": "801-669-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 E FORT UNION BLVD",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841213337",
"telephone_number": "801-669-5888",
"fax_number": "801-669-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "11923845-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood Heights, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.