Active NPI
Rachel Jeanne Gitlin, SSW
- Social Worker
- Cottonwood Heights, UT
National Provider Identifier
1518453885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10863527-3503
- Practice address
- 2450 E Fort Union Blvd
Cottonwood Heights, UT 84121-3337 - Phone
- (385) 237-1173
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10863527-3503 | UT | Primary |
Addresses
Primary practice location
2450 E Fort Union Blvd
Cottonwood Heights, UT 84121-3337
Mailing address
5910 S Blue Meadow Dr
Taylorsville, UT 84129-4593
Phone (801) 631-8693
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10863527-3503 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1518453885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5910 S BLUE MEADOW DR",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841294593",
"telephone_number": "801-631-8693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 E FORT UNION BLVD",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841213337",
"telephone_number": "385-237-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITLIN",
"first_name": "RACHEL",
"middle_name": "JEANNE",
"credential": "SSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "UT",
"license": "10863527-3503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood Heights, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.