Individual provider Active NPI

Garrett Vincent Cimino, LCSW

  • Clinical Social Worker
  • South Ogden, UT
National Provider Identifier
1922684125
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10150750-3501 Issued in UT
Practice address
6000 S 1075 E
South Ogden, UT 84405-4945
Phone
(801) 479-7035
Fax
(801) 479-9268
NPI assigned
Mar 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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 10150750-3501 UT Primary

Addresses

Primary practice location

6000 S 1075 E
South Ogden, UT 84405-4945

Mailing address

846 E 5600 S
South Ogden, UT 84405-4903
Phone (801) 828-0636

Other practice location 1

5677 S 1475 E
South Ogden, UT 84403-7032
Phone (801) 479-7035

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gcimino@brightonrecoverycenter.com Direct

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
10150750-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Recovery Center LLC PastSince Mar 21, 2021 Accepting new patients
Brighton Recovery Center Intensive Outpatient LLC Past Accepting new patients

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": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1922684125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 E 5600 S",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054903",
            "telephone_number": "801-828-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 S 1075 E",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054945",
            "telephone_number": "801-479-7035",
            "fax_number": "801-479-9268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5677 S 1475 E",
            "address_purpose": "LOCATION",
            "city": "South Ogden",
            "state": "UT",
            "postal_code": "844037032",
            "country_code": "US",
            "telephone_number": "801-479-7035",
            "fax_number": "801-479-9268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIMINO",
        "first_name": "GARRETT",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10150750-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcimino@brightonrecoverycenter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "6000 S 1075 E",
            "city": "South Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844054945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.