Brahm Alexander Gordon, SSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5503536-3501 Issued in UT

Practice address

934 S Main St
Layton, UT 84041-4250

Phone

(801) 546-1168

Fax

(801) 544-0770

NPI assigned

Jan 22, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Xander Gordon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Wellness Hub LLC

  • Mental Health Counselor
  • Holladay, UT
  • NPI 1518705375
  NPD Authorized official
• Davis Behavioral Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Layton, UT
  • NPI 1770641672

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1659558658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110460",
            "telephone_number": "801-298-3446",
            "fax_number": "801-298-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 S MAIN ST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414250",
            "telephone_number": "801-546-1168",
            "fax_number": "801-544-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "BRAHM",
        "middle_name": "ALEXANDER",
        "credential": "SSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5503536-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XANDER",
            "last_name": "GORDON",
            "credential": "SSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amanda Goodloe, MS
• Caroline Goodrich
• Gary A Goodrich, PHD
• Valerie Goodspeed
• Nicholas Goodwin
• Carrie Ann Gordon, M.D.
• Kaitlyn M Gordy
• Andrew Artmann Gorges
• Ariana Gough
• Shon James Goulding, DC

• Clinical Social Worker in Layton, UT
• Providers in Layton, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.