Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MIMI GORDON-LEVINE LCSW
NPI 1063485399
Social Worker - Clinical in Salt Lake City, UT

Active since February 08, 2006
1141 E 3900 S, STE A160, SALT LAKE CITY, UT 84124(801) 264-2325 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mimi Gordon-levine Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIMI GORDON-LEVINE LCSW (NPI 1063485399) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (941409633501) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1063485399
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIMI GORDON-LEVINECredential: LCSW
Location Address1141 E 3900 S, STE A160Salt Lake City, UT 84124-1215
Mailing Address1141 E 3900 S, Ste A160Salt Lake City, UT 84124-1215 · (801) 264-2325
Sole ProprietorNo
Enumeration DateFebruary 8, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1063485399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in UT · 941409633501
Definition

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.

1141 E 3900 S, Salt Lake City, UT 84124

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1141 E 3900 S, STE A170
SALT LAKE CITY, UT 84124
Social Worker (Clinical)
1141 E 3900 S, SUITE A-170
SALT LAKE CITY, UT 84124
Social Worker (Clinical)
1141 E 3900 S, A-160
SALT LAKE CITY, UT 84124
Social Worker (Clinical)
1141 E 3900 S, SUITE A-170
SALT LAKE CITY, UT 84124
Social Worker (Clinical)
1141 E 3900 S
SALT LAKE CITY, UT 84124
Psychiatry & Neurology (Psychiatry)
1141 E 3900 S, SUITE A170
SALT LAKE CITY, UT 84124
Specialist/Technologist, Health Information
1141 E 3900 S
SALT LAKE CITY, UT 84124
Social Worker (Clinical)
1141 E 3900 S, STEA160
SALT LAKE CITY, UT 84124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mimi Gordon-levine's NPI number?

The NPI number for Mimi Gordon-levine is 1063485399. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Mimi Gordon-levine located?

Mimi Gordon-levine practices at 1141 E 3900 S Ste A160, Salt Lake City, UT 84124. The listed phone number is (801) 264-2325.

What is Mimi Gordon-levine's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mimi Gordon-levine was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.