Individual provider Active NPI

Gabriela Zabka, CSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1689306243
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12877283 Issued in UT
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

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
12877283UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vivid Safe House CurrentSince Mar 24, 2024 Accepting new patients
Eva Carlston Academy PastSince Jul 3, 2022 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.

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.

Verify at the official NPI Registry.