Gabrielle Acord, LCSW
Individual provider Active NPI Clinical Social Worker · Midvale, UT
NPI 1417907650 · NPPES record last updated Nov 5, 2012
Key facts
- NPI
- 1417907650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5148124-3501 (UT)
- Practice address
- 195 W 7200 S
Midvale, UT 84047-3703 - Phone
- (801) 565-6998
- Fax
- (801) 565-6982
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5148124-3501 | UT | Yes |
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
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- David B Adams
- Ronald Cade Adams
- Advanced Acupuncture Clinic,Inc
- Advantage Eye Care , P. C.
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All providers in Midvale, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.