Darren James Gillespie, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5714449-3501 Issued in UT

Practice address

3714 E Campus Dr Ste 101
Eagle Mountain, UT 84005-5451

Phone

(801) 789-7780

NPI assigned

Aug 24, 2006

Reactivated

Jan 28, 2020

Last updated

Feb 7, 2022By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Darren J Gillespie LCSW, LLC

  dba Eagle Mountain Counseling

  • Clinical Social Worker
  • Eagle Mountain, UT
  • NPI 1356843049
  NPD Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1205943180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 E CAMPUS DR STE 101",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055451",
            "telephone_number": "801-789-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 E CAMPUS DR STE 101",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055451",
            "telephone_number": "801-789-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "DARREN",
        "middle_name": "JAMES",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "deactivation_date": "2020-01-06",
        "reactivation_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5714449-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Eagle Mountain, UT
• Providers in Eagle Mountain, 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 Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.