MR. NATHAN W. GIBBONS (NPI# 1508910092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508910092 |
| Entity Type | Individual |
| Full Name | MR. NATHAN W. GIBBONS |
| Credential | LCSW |
| Practice Address |
2005 N 900 E Provo UT 84602-1763 |
| Mailing Address |
4601 Spruce Cir Cedar Hills UT 84062-7703 |
| Practice Telephone | 8014225609 |
| Practice Fax Number | 8014220856 |
| Mailing Telephone | 8012164434 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2014-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
322256-3501 | UT | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
992679 | CO | Behavioral Health & Social Service Providers |
| Street Address |
2005 N 900 E |
| City | PROVO |
| State | UT |
| Zip Code | 84602-1763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184014177 | Craig Cosgrove | Specialist/Technologist | 2005 N 900 E, Provo, UT 84602-1763 | 2015-01-28 |
| 1760706766 | Brittany Tucker Perdue | Specialist/Technologist | 2005 N 900 E, Provo, UT 84604-1763 | 2010-03-18 |
| 1134336944 | Lds Family Services | Community/Behavioral Health | 2005 N 900 E, Provo, UT 84604-1763 | 2007-05-17 |
| 1932327632 | Joseph Brad Burton | Marriage & Family Therapist | 2005 N 900 E, Provo, UT 84604-1763 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
| 1265071575 | Scott Daly Hosford | Psychologist | 2500 Wsc, Provo, UT 84602 | 2020-01-03 |
| 1417591728 | Christine Padilla | Specialist/Technologist | 331 Student Athlete Building, Provo, UT 84602 | 2019-10-30 |
| 1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
| 1881179323 | David Inouye Takasaki | Specialist/Technologist | 331 Sab, Provo, UT 84602 | 2018-10-01 |
| 1568949006 | Mckenna Taylor | Specialist/Technologist | 1120 Sfh Brigham Young University, Provo, UT 84602 | 2018-07-27 |
| 1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
| 1427572627 | Mackenzie Booth | Physical Medicine & Rehabilitation | 1120 Sfh, Brigham Young University, Provo, UT 84602 | 2017-07-29 |
| 1124542451 | Phillip James Adrian Hartog | Specialist/Technologist | 1143 Smith Fieldhouse, Provo, UT 84602 | 2017-07-28 |
| 1114479698 | Christopher Jay Hortin | Specialist/Technologist | 106 Sfh, Provo, UT 84602 | 2016-10-31 |
| Find all providers in zip 84602 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943868 | Joy Bouchard | Social Worker | 1933 N 1120 W, Provo, UT 84604-1044 | 2020-05-15 |
| 1275181596 | Karmen Tuivai | Social Worker | 1507 N University Ave Ste 150, Provo, UT 84604-2657 | 2019-08-29 |
| 1144876798 | Marilyn Taylor Morgan | Social Worker | 1765 N 1550 E, Provo, UT 84604-5710 | 2019-08-09 |
| 1700379369 | Building Beginnings Recovery | Social Worker | 286 S 600 E Ste A, Provo, UT 84606-4780 | 2018-06-08 |
| 1922555093 | Scott Parker | Social Worker | 63 N 300 E, Provo, UT 84606-3241 | 2016-09-07 |
| 1316348394 | Mary Reas | Social Worker | 225 S 300 E, Provo, UT 84606-4743 | 2014-09-10 |
| 1053721399 | Brigham Young | Social Worker | 1190 N 900 E Ste 204, Provo, UT 84604-3536 | 2014-05-07 |
| 1902221328 | Christine Lindsey | Social Worker | 2230 N University Pkwy Ste 7e, Provo, UT 84604-6701 | 2014-02-21 |
| 1447671896 | Cory Virgin | Social Worker | 558 N 2310 W, Provo, UT 84601-7253 | 2014-01-01 |
| 1912345877 | Kate Aryn Edwards | Social Worker | 161 W 400 S Apt 6, Provo, UT 84601-4519 | 2013-06-12 |
| Find all providers in PROVO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.