MIMI GORDON-LEVINE LCSW
NPI 1063485399
Social Worker - Clinical in Salt Lake City, UT
NPI Status: Active since February 08, 2006
Contact Information
1141 E 3900 S
STE A160
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 264-2325
- Individual
- Female
- Social Worker
- Clinical
- Opted-Out Medicare
About MIMI GORDON-LEVINE
This page provides the complete NPI Profile along with additional information for Mimi Gordon-levine, a provider established in Salt Lake City, Utah with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1063485399 assigned on February 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 941409633501 (UT). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1063485399
- Provider Name
- MIMI GORDON-LEVINE LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1141 E 3900 S STE A160 SALT LAKE CITY, UT 84124
- Location Phone
- (801) 264-2325
- Mailing Address
- 1141 E 3900 S STE A160 SALT LAKE CITY, UT 84124
- Mailing Phone
- (801) 264-2325
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-08-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical social worker like Mimi Gordon-levine is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Mimi Gordon-levine opted out of Medicare effective on 07-11-2024 until 07-11-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 941409633501
- License State
- UT
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| S76351 | MEDICARE UPIN (02) | UT |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-11-2024
Opt-Out End Date: 07-11-2026
Eligible to Order and Refer? No
Reviews for MIMI GORDON-LEVINE LCSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 4 | 8 | 5 | 3 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 8 | 8 | 10 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 8 + 8 + 1 + 0 + 3 + 1 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1063485399 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720061286 | MS. MAXINE MARIE SABIN RN Individual | Registered Nurse (Psychiatric/Mental Health) | 1141 E 3900 S STE A-250 SLC, UT 84124 (801) 284-4903 |
| 1821072448 | MS. NANCY LEE THACKER RN, BSN Individual | Registered Nurse (Psychiatric/Mental Health, Child & Adolescent) | 1141 E 3900 S SALT LAKE CITY, UT 84124 (801) 284-4990 |
| 1083699565 | MRS. SANDRA KAY VARLEY LCSW Individual | Social Worker (Clinical) | 1141 E 3900 S SUITE A-170 SALT LAKE CITY, UT 84124 (801) 284-4990 |
| 1336124387 | MS. PHYLLIS SPECIALE LCSW Individual | Social Worker (Clinical) | 1141 E 3900 S A-170 SALT LAKE CITY, UT 84124 (801) 270-6538 |
| 1982689766 | STEVEN CHARLES WONG LCSW Individual | Social Worker (Clinical) | 1141 E 3900 S SUITE A-170 SALT LAKE CITY, UT 84124 (801) 284-4990 |
| 1386621910 | MR. MARVIN GOLDSTEIN LCSW Individual | Social Worker (Clinical) | 1141 E 3900 S A-170 SALT LAKE CITY, UT 84124 (801) 284-4990 |
| 1487632444 | JEAN C BRAMBLE APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1141 E 3900 S A-170 SALT LAKE CITY, UT 84124 (801) 284-4990 |
| 1972582427 | MRS. KARLA READING LCSW Individual | Social Worker (Clinical) | 1141 E 3900 S NO. A128 SALT LAKE CITY, UT 84124 (801) 971-3884 |
| 1083684005 | MS. SUZANN SUTTON NOWELS LCSW Individual | Social Worker (Clinical) | 1141 E 3900 S A-160 SALT LAKE CITY, UT 84124 (801) 264-2325 |
| 1639140312 | DR. LISA ANN GUSTAVSON PH.D. Individual | Psychologist (Counseling) | 1141 E 3900 S SUITE A170 SALT LAKE CITY, UT 84124 (801) 284-4990 |
| 1245203314 | MS. DIANE H. JONES LCSW Individual | Social Worker (Clinical) | 1141 E 3900 S STEA160 SALT LAKE CITY, UT 84124 (801) 264-2325 |
| 1417913930 | VALLEY MENTAL HEALTH INCORPORATED Organization | Nurse Practitioner (Psychiatric/Mental Health) | 1141 E 3900 S SUITE A250 SALT LAKE CITY, UT 84124 (801) 284-4900 |
| 1124085170 | VALLEY MENTAL HEALTH INCORPORATED Organization | Psychiatry & Neurology (Psychiatry) | 1141 E 3900 S SUITE A170 SALT LAKE CITY, UT 84124 (801) 284-4990 |
| 1649229543 | MS. ELAINE D. JEWETT C.S.W. Individual | Social Worker (Clinical) | 1141 E 3900 S SUITE A-170 SALT LAKE CITY, UT 84124 (801) 284-4990 |
| 1093744518 | MISS RACHEL J. ARMSTRONG CSW Individual | Social Worker (Clinical) | 1141 E 3900 S SALT LAKE CITY, UT 84124 (801) 284-4990 |
| 1922294198 | VALLEY MENTAL HEALTH INCORPORATED Organization | Psychologist (Clinical) | 1141 E 3900 S SUITE A200 SALT LAKE CITY, UT 84124 (801) 264-2300 |
| 1881838290 | MARY JUNE LATU LCSW Individual | Social Worker (Clinical) | 1141 E 3900 S SUITE A170 SLC, UT 84124 (801) 284-4990 |
| 1851628234 | PATHOLOGY ASSOCIATES MEDICAL LABORATORIES, LLC Organization | Clinical Medical Laboratory | 1141 E 3900 S SALT LAKE CITY, UT 84124 (509) 755-8600 |
| 1679800056 | BOURGET HEALTH SERVICES, INC Organization | Clinical Medical Laboratory | 1141 E 3900 S SALT LAKE CITY, UT 84124 (509) 755-8600 |
| 1497044168 | LAURA JOY HABER Individual | Social Worker (Clinical) | 1141 E 3900 S SUITE A170 SALT LAKE CITY, UT 84124 (801) 270-6504 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063485399, enumerated in the NPI registry as an "individual" on February 08, 2006
The provider is located at 1141 E 3900 S Ste A160 Salt Lake City, Ut 84124 and the phone number is (801) 264-2325
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on July 11, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 11, 2026.
This NPI record was last updated on February 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.