Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mary Michelle Gourley, MFT, LCSW, JD

Individual provider Clinical Social Worker · NPI 1649503723

MS. Mary Michelle Gourley, MFT, LCSW, JD is a Clinical Social Worker in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2009.

Licensed in
UT
In the registry since
2009
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.
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

1390 S 1100 E Ste 203
Salt Lake City, UT 84105-2461
Phone: (801) 983-5700
Fax: (801) 983-5701
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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 1321743501 (UT)

Record details

NPI number1649503723
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT , LCSW , JD
Sole proprietorNo
NPI enumeratedSeptember 8, 2009
Last updated in NPPESSeptember 8, 2009

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