Individual provider Active NPI

Gabrielle Acord, LCSW

  • Clinical Social Worker
  • Midvale, UT
National Provider Identifier
1417907650
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5148124-3501 Issued in UT
Practice address
195 W 7200 S
Midvale, UT 84047-3703
Phone
(801) 565-6998
Fax
(801) 565-6982
NPI assigned
May 10, 2006
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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 5148124-3501 UT Primary

Addresses

Primary practice location

195 W 7200 S
Midvale, UT 84047-3703

Mailing address

505 S Main St
Suite 209
Bountiful, UT 84010-6398
Phone (801) 918-9058

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1417907650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST",
            "address_2": "SUITE 209",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106398",
            "telephone_number": "801-918-9058",
            "fax_number": "801-335-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W 7200 S",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473703",
            "telephone_number": "801-565-6998",
            "fax_number": "801-565-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACORD",
        "first_name": "GABRIELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5148124-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.