Active NPI
Garrett Vincent Cimino, LCSW
- Clinical Social Worker
- South Ogden, UT
National Provider Identifier
1922684125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10150750-3501
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10150750-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighton Recovery Center LLC | Past | 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.
-
- Substance Abuse Rehabilitation Facility
- South Ogden, UT
- NPI 1326563032
-
- Substance Abuse Rehabilitation Facility
- South Ogden, UT
- NPI 1245613009
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.