Active NPI
Jenifer Layne Gorder, MSW, LCSW
- Clinical Social Worker
- West Haven, UT
National Provider Identifier
1447444765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2129 Whiston St
West Haven, UT 84401 - Phone
- (801) 548-2231
- NPI assigned
- Aug 29, 2007
- Last updated
- Sep 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2129 Whiston St
West Haven, UT 84401
Mailing address
2129 Whiston St
West Haven, UT 84401
Phone (801) 548-2231
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260022408 | Other | UT | RAILROAD MEDICARE |
| 876000308007 | Medicaid | UT |
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": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1447444765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 WHISTON ST",
"city": "WEST HAVEN",
"state": "UT",
"postal_code": "84401",
"telephone_number": "801-548-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 WHISTON ST",
"city": "WEST HAVEN",
"state": "UT",
"postal_code": "84401",
"telephone_number": "801-548-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDER",
"first_name": "JENIFER",
"middle_name": "LAYNE",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "260022408",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "876000308007",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Haven, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.