Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gerald Louis Costley, LCSW

Individual provider Mental Health Counselor · NPI 1164910089

Gerald Louis Costley, LCSW is a Mental Health Counselor in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

339 E 3900 S Ste 155
Salt Lake City, UT 84107-1978
Phone: (801) 347-0370
Fax: (801) 261-3701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 128158-3501 (UT)
Counselor Taxonomy 101Y00000X · Licence 128158-3501 (UT)

Record details

NPI number1164910089
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 26, 2018
Last updated in NPPESDecember 29, 2019
Certification dateDecember 29, 2019

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