Active NPI
Erin Gibson, LCSW
- Clinical Social Worker
- Midvale, UT
National Provider Identifier
1053752931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7872279-3501
- Practice address
- 6770 S 900 E Ste 105
Midvale, UT 84047-1710 - Phone
- (541) 554-5606
- NPI assigned
- Jul 8, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 7872279-3501 | UT | Primary |
Addresses
Primary practice location
6770 S 900 E Ste 105
Midvale, UT 84047-1710
Mailing address
6770 S 900 E Ste 105
Midvale, UT 84047-1710
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7872279-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1053752931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6770 S 900 E STE 105",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6770 S 900 E STE 105",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471710",
"telephone_number": "541-554-5606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "ERIN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-08",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "7872279-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.