GINA LELALA MABEL PURCELL (NPI# 1679684492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679684492 |
| Entity Type | Individual |
| Full Name | GINA LELALA MABEL PURCELL |
| Credential | LCSW |
| Practice Address |
750 North 200 West Provo UT 84601 |
| Practice Telephone | 8013734760 |
| Practice Fax Number | 8013730639 |
| Mailing Telephone | 8013734760 |
| Mailing Fax Number | 8013730639 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3747763501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
750 NORTH 200 WEST |
| City | PROVO |
| State | UT |
| Zip Code | 84601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386600450 | Juergen Erich Korbanka | Psychologist | 750 North 200 West, Provo, UT 84601 | 2006-04-26 |
| 1497198691 | Kelllie Jo Mcintyre | Marriage & Family Therapist | 750 North 200 West, Provo, UT 84601 | 2013-04-08 |
| 1689972887 | Charles Joseph Stuart Iv | Case Manager/Care Coordinator | 750 North 200 West, Suite 300, Provo, UT 84601 | 2011-03-11 |
| 1740588110 | Jocelyn De Corte | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Suite 300, Provo, UT 84601 | 2011-03-08 |
| 1295818557 | Ned Nelson Campbell Jr. | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-10-23 |
| 1639266430 | Catherine M Johnson | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-10-05 |
| 1326146663 | Brian Wayne Butler | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-09-20 |
| 1326146689 | Richard Eugene Shanteau | Psychiatry & Neurology | 750 North 200 West, Provo, UT 84601 | 2006-09-20 |
| 1801994140 | Brittany Lisle | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-09-20 |
| 1144328204 | Elizabeth Lewin - Shepley | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| 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 |
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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.