NPI 1417907650 · live from the CMS NPI Registry
Gabrielle Acord, LCSW
Social Worker, Clinical in Midvale, UT. National Provider Identifier 1417907650, active.
NPI record
| NPI | 1417907650 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 195 W 7200 S, Midvale, UT 84047 |
| Practice phone | 801-565-6998 |
| Mailing address | 505 S Main St, Suite 209, Bountiful, UT 84010 |
| Enumerated | May 10, 2006 |
| Last updated | November 5, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 5148124-3501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.