Active NPI
Gabriela Zabka, CSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1689306243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12877283
- Practice address
- 4943 S Wasatch Blvd
Salt Lake City, UT 84124-4798 - Phone
- (801) 210-0636
- NPI assigned
- Jun 30, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12877283 | UT | Primary |
Addresses
Primary practice location
4943 S Wasatch Blvd
Salt Lake City, UT 84124-4798
Mailing address
3976 S 1500 E
Salt Lake City, UT 84124-1513
Phone (801) 839-6404
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 |
|---|---|---|---|
| 12877283 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vivid Safe House | Current | Accepting new patients | |
| Eva Carlston Academy | Past | Accepting new patients |
Locations
4943 S Wasatch Blvd
Salt Lake City, UT 84124
Phone (801) 210-0636
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 and National Provider Directory roles.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Salt Lake City, UT
- NPI 1043070063
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Salt Lake City, UT
- NPI 1427330968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1689306243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3976 S 1500 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241513",
"telephone_number": "801-839-6404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4943 S WASATCH BLVD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841244798",
"telephone_number": "801-210-0636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZABKA",
"first_name": "GABRIELA",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12877283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.