Individual provider Active NPI

Brian J Garlock, LCSW

  • Clinical Social Worker
  • Clearfield, UT
National Provider Identifier
1245556158
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2888593501 Issued in UT
Practice address
370 S 500 E Ste 135
Clearfield, UT 84015-4001
Phone
(801) 815-3443
NPI assigned
Apr 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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 2888593501 UT Primary

Addresses

Primary practice location

370 S 500 E Ste 135
Clearfield, UT 84015-4001

Mailing address

1495 S 375 E
Kaysville, UT 84037-9615
Phone (801) 628-6160

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

LicenseStateTypeSpecialty
2888593501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Health Associates Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1245556158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 S 375 E",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840379615",
            "telephone_number": "801-628-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S 500 E STE 135",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840154001",
            "telephone_number": "801-815-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLOCK",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "2888593501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.