Gayle Phillips, LCSW Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

136310-3501 Issued in UT

Legal business name

GAYLE PHILLIPS, LCSW INC

Practice address

860 E 4500 S
Suite #302
Salt Lake City, UT 84107-3002

Phone

(801) 352-5714

NPI assigned

Aug 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gayle Phillips, LCSW

Title

Ceo

Phone

(801) 352-5714

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1336151117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17076",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841170076",
            "telephone_number": "801-352-5714",
            "fax_number": "801-288-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E 4500 S",
            "address_2": "SUITE #302",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073002",
            "telephone_number": "801-352-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYLE PHILLIPS, LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-352-5714",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "136310-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1720007222",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Gawronski
• Isabella Gaxiola
• Christopher A Gay, MD
• Noemi Pallos Gay, APRN
• Carrie Gaykowski, LCSW
• Allison Gayler, AUD
• Melissa Gaynor
• Timothy J Gayowski, MD FACS
• Isabella Gaziano
• Bradley Geake

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, 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 Dec 27, 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.