Individual provider Active NPI

Bailee Gacioch, LCSW

  • Clinical Social Worker
  • Roy, UT
National Provider Identifier
1295592996
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11275769-3501 Issued in UT
Practice address
1825 W 4400 S
Roy, UT 84067-3065
Phone
(801) 648-0816
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 11275769-3501 UT Primary

Addresses

Primary practice location

1825 W 4400 S
Roy, UT 84067-3065

Mailing address

3277 W 775 N
Layton, UT 84041-8800
Phone (801) 648-0816

Other practice location 1

3277 W 775 N
Layton, UT 84041-8800
Phone (801) 648-0816

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
I20250411003026 UT Practitioner - Clinical Social Worker 4486178340 Reassigns benefits to 1 organization
Practice locations: Roy, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1825 W 4400
Roy, UT 84067-3065
Phone (801) 648-0816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Therapy Services Clinical CurrentSince Jan 27, 2025 Accepting new patients

Locations

1825 W 4400 S
Roy, UT 84067
Phone (801) 648-0816

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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1295592996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 W 775 N",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840418800",
            "telephone_number": "801-648-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 W 4400 S",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840673065",
            "telephone_number": "801-648-0816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3277 W 775 N",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840418800",
            "country_code": "US",
            "telephone_number": "801-648-0816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GACIOCH",
        "first_name": "BAILEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11275769-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roy, UT

Sources for this page

Verify at the official NPI Registry.