MS. MARY MICHELLE GOURLEY (NPI# 1649503723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649503723 |
| Entity Type | Individual |
| Full Name | MS. MARY MICHELLE GOURLEY |
| Credential | MFT, LCSW, JD |
| Practice Address |
1390 S 1100 E Suite 203 Salt Lake City UT 84105-2461 |
| Practice Telephone | 8019835700 |
| Practice Fax Number | 8019835701 |
| Mailing Telephone | 8019835700 |
| Mailing Fax Number | 8019835701 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1321743501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1390 S 1100 E SUITE 203 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477694453 | Patricia Ann Toomey | Counselor | 1390 S 1100 E, Suite 202, Salt Lake City, UT 84105-2461 | 2007-02-10 |
| 1225475924 | Julie Barbero,lcsw, PC | Community/Behavioral Health | 1390 S 1100 E, Ste. 203, Salt Lake City, UT 84105-2461 | 2013-06-04 |
| 1528401957 | Michelle Gourley & Associates, LLC | Community/Behavioral Health | 1390 S 1100 E, Suite 203, Salt Lake City, UT 84105-2461 | 2013-04-16 |
| 1457624363 | Jennifer Rapp Sheridan | Counselor | 1390 S 1100 E, Suite 201a, Salt Lake City, UT 84105-2461 | 2012-02-23 |
| 1366712499 | Katie Lieberman | Social Worker | 1390 S 1100 E, Suite 201, Salt Lake City, UT 84105-2461 | 2012-01-05 |
| 1104126960 | Kaati Lao Tarr | Social Worker | 1390 S 1100 E, 201, Salt Lake City, UT 84105-2461 | 2010-10-27 |
| 1376852038 | Rebecca Anne Garfield | Student in an Organized Health Care Education/Training Program | 1390 S 1100 E, #203, Salt Lake City, UT 84105-2461 | 2010-09-29 |
| 1194030379 | Kristan Warnick | Counselor | 1390 S 1100 E, Suite 201a, Salt Lake City, UT 84105-2461 | 2010-08-12 |
| 1841518271 | Vicki Lynne Baldwin | Counselor | 1390 S 1100 E, Salt Lake City, UT 84105-2461 | 2010-05-10 |
| 1982937074 | Julie Ann Barbero | Social Worker | 1390 S 1100 E, Suite 203, Salt Lake City, UT 84105-2461 | 2009-09-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| Find all providers in zip 84105 | ||||
| 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 |
|---|---|---|---|---|
| 1922606763 | Eric Jeffrey Hales | Social Worker | 352 S Denver St Ste 350, Salt Lake City, UT 84111-3059 | 2020-10-14 |
| 1700490067 | Open Arms Youth and Adult Services | Social Worker | 3007 S West Temple Ste J, Salt Lake City, UT 84115-6701 | 2020-09-03 |
| 1275147019 | Libby Rae Hughes | Social Worker | 1170 S Foothill Dr Apt 323, Salt Lake City, UT 84108-1955 | 2020-08-31 |
| 1881206910 | Christine Madden | Social Worker | 699 E South Temple Ste 300a, Salt Lake City, UT 84102-1188 | 2020-08-19 |
| 1003428566 | Laura Marie Baumgart | Social Worker | 1390 S 1100 E Ste 204, Salt Lake City, UT 84105-2463 | 2020-08-17 |
| 1851901193 | Angelique Colemere | Social Worker | 1399 S 700 E Ste 16, Salt Lake City, UT 84105-2170 | 2020-08-02 |
| 1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
| 1619586856 | Layne Gerry Daybell | Social Worker | 136 E South Temple, Salt Lake City, UT 84111-1180 | 2020-07-23 |
| 1043829328 | Christopher Wesley Pace | Social Worker | 2000 Circle of Hope Dr Rm 2840, Salt Lake City, UT 84112-5550 | 2020-07-23 |
| 1962028795 | Amy Lynn Horyna | Social Worker | 1950 Circle of Hope Dr Rm 2935, Salt Lake City, UT 84112-5500 | 2020-06-17 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
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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.