Angela Marie Gehrke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11912618-3502 Issued in UT

Practice address

9138 S 6200 W
Payson, UT 84651-9772

Phone

(801) 558-6985

NPI assigned

Oct 4, 2018

Last updated

Mar 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1770058802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9138 S 6200 W",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846519772",
            "telephone_number": "801-558-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9138 S 6200 W",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846519772",
            "telephone_number": "801-558-6985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3280 W 3500 S Ste E",
            "address_purpose": "LOCATION",
            "city": "West Valley",
            "state": "UT",
            "postal_code": "841192668",
            "country_code": "US",
            "telephone_number": "801-979-1351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEHRKE",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "11912618-3502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "11912618-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Benjamin Forbush
• Ross Frandsen, O.D.
• Michael Fullmer, DO
• Sherri Galbraith
• Alicia Ann Galten
• Hayden Limb Gillies
• Issac Paul Gonzales
• Morgan Leslee Gonzales, LCSW
• Jeff Graff, RPH
• Jessica Graff

• Clinical Social Worker in Payson, UT
• Providers in Payson, 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 Mar 25, 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.