Gretchen James, LCSW
Individual provider Active NPI Clinical Social Worker · Murray, UT
NPI 1063477321 · NPPES record last updated Aug 30, 2021
Key facts
- NPI
- 1063477321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5353133-3501 (UT)
- Practice address
- 5411 S Vine St
Murray, UT 84107-7746 - Phone
- (801) 209-6610
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5353133-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Empowerment Services, LLC | Past | Accepting new patients | |
| Child & Family Empowerment Services, LLC | Clinical | Past | Accepting new patients |
| Theory and Method Therapy Collective | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5353133-3501 | UT | Yes |
Addresses
Primary practice location
5411 S Vine St
Murray, UT 84107-7746
Mailing address
450 E 100 S Apt 26
SLC, UT 84111-1809
Phone (801) 209-6610
Other practice location 1
124 S 400 E Ste 250
Salt Lake City, UT 84111-5315
Phone (435) 774-0485
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 788007788049 | Medicaid | UT |
Other providers in Murray, UT
- Jacquez Counseling, PLLC
- Jacob Eugene Jacquez
- Solomon Jakomino
- James R.M. Pearce M.D., LLC
- Brooke James
- Ashley Brooke Jamsa
- Janet M Balbierz MD PC
- Lindsay Janke
- Paige Janzen
- Jade Jaques
All providers in Murray, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.