Individual provider Active NPI

Pepper Gale, LCSW

  • Clinical Social Worker
  • Beaver, UT
National Provider Identifier
1093426736
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7221465-3502 Issued in UT
Practice address
Beaver Valley Hospital
1109 N 100 W
Beaver, UT 84713
Phone
(435) 438-7183
NPI assigned
Dec 13, 2022
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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 7221465-3502 UT Primary

Addresses

Primary practice location

Beaver Valley Hospital
1109 N 100 W
Beaver, UT 84713

Mailing address

PO Box 1121
Beaver, UT 84713-1121
Phone (435) 310-1080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pgale@beaverhospital.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230130000843 UT Practitioner - Clinical Social Worker 6002287026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7221465-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Valley Hospital Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1093426736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1121",
            "city": "BEAVER",
            "state": "UT",
            "postal_code": "847131121",
            "telephone_number": "435-310-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAVER VALLEY HOSPITAL",
            "address_2": "1109 N 100 W",
            "city": "BEAVER",
            "state": "UT",
            "postal_code": "84713",
            "telephone_number": "435-438-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALE",
        "first_name": "PEPPER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7221465-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgale@beaverhospital.net",
            "affiliation": "N",
            "endpointDescription": "Work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Beaver Valley Hospital",
            "address_2": "1109 N 100 W",
            "city": "Beaver",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaver, UT

Sources for this page

Verify at the official NPI Registry.