Individual provider Active NPI

Elyse Nicole Gile, LCSW

  • Clinical Social Worker
  • South Jordan, UT
National Provider Identifier
1508592999
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9039384-3501 Issued in UT
Practice address
873 W Baxter Dr
South Jordan, UT 84095-8506
Phone
(801) 446-3515
NPI assigned
Jul 27, 2022
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9039384-3501 UT
Clinical Social Worker 1041C0700X 9039384-3501 UT Primary

Addresses

Primary practice location

873 W Baxter Dr
South Jordan, UT 84095-8506

Mailing address

5278 W Bowstring Way
South Jordan, UT 84009-6161
Phone (801) 598-2091

Other practice location 1

1108 W South Jordan Pkwy
South Jordan, UT 84095-5504
Phone (385) 215-9084

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
I20250927000472 UT Practitioner - Clinical Social Worker 7012412158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Utah School of Medicine, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

873 W Baxter Dr
South Jordan, UT 84095-8506

PO Box
Suite 712260
Salt Lake City, UT 84171-2260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9039384-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Riley Individual, Family, and Marriage Counseling LLC CurrentSince Mar 20, 2025 Accepting new patients
Reach Counseling, LLC Clinical CurrentSince Sep 12, 2025 Accepting new patients

Locations

873 W Baxter Dr
South Jordan, UT 84095
Phone (801) 446-3515

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1508592999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5278 W BOWSTRING WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840096161",
            "telephone_number": "801-598-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 W BAXTER DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958506",
            "telephone_number": "801-446-3515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1108 W South Jordan Pkwy",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840955504",
            "country_code": "US",
            "telephone_number": "385-215-9084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILE",
        "first_name": "ELYSE",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "9039384-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9039384-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.