Active NPI
Gregory Glade Shaw
- School Social Worker
- Sandy, UT
National Provider Identifier
1538592340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 9361 S 300 E
Sandy, UT 84070-2902 - Phone
- (801) 826-5000
- NPI assigned
- Aug 15, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 390200000 | UT | |
| School Social Worker | 1041S0200X | UT | Primary |
Addresses
Primary practice location
9361 S 300 E
Sandy, UT 84070-2902
Mailing address
9361 S 300 E
Sandy, UT 84070-2902
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 |
|---|---|---|---|
| 390200000 | UT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1538592340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9361 S 300 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840702902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9361 S 300 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840702902",
"telephone_number": "801-826-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "GREGORY",
"middle_name": "GLADE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-15",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "UT",
"license": "390200000",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.