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

Mimi Gordon-Levine, LCSW

Individual provider Clinical Social Worker · NPI 1063485399

Mimi Gordon-Levine, LCSW is a Clinical Social Worker in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
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

1141 E 3900 S Ste A160
Salt Lake City, UT 84124-1215
Phone: (801) 264-2325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 941409633501 (UT)

Record details

NPI number1063485399
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 8, 2006
Last updated in NPPESJuly 13, 2026

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