Individual provider Active NPI

Gabrielle Ernest, LCSW, SSW

  • Social Worker
  • Murray, UT
National Provider Identifier
1982245379
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9474147-3502 Issued in UT
Practice address
5411 S Vine St
Murray, UT 84107-7746
Phone
(801) 831-9075
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9474147-3501 UT
School Social Worker 1041S0200X
Social Worker 104100000X 9474147-3502 UT Primary

Addresses

Primary practice location

5411 S Vine St
Murray, UT 84107-7746

Mailing address

5411 S Vine St
Murray, UT 84107-7746
Phone (801) 831-9075

Other practice location 1

9361 S 300 E
Sandy, UT 84070-2902
Phone (801) 826-5000

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
9474147-3502UTMDSocial Worker
9474147-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1982245379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 S VINE ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077746",
            "telephone_number": "801-831-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 S VINE ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077746",
            "telephone_number": "801-831-9075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9361 S 300 E",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840702902",
            "country_code": "US",
            "telephone_number": "801-826-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERNEST",
        "first_name": "GABRIELLE",
        "credential": "LCSW, SSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9474147-3501",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "9474147-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.