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

Nicole M Gotberg, SSW

Individual provider Foster Care Agency · NPI 1407288145

Nicole M Gotberg, SSW is a Foster Care Agency in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2013
Specialties on file
2

Practice location Address checks out

195 N 1950 W
Salt Lake City, UT 84116-3100
Phone: (801) 538-4001
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 9450078-3503 (UT)
Foster Care Agency Taxonomy 253J00000X

Record details

NPI number1407288145
Entity typeIndividual (Type 1)
GenderFemale
Credentials SSW
Sole proprietorYes
NPI enumeratedAugust 5, 2013
Last updated in NPPESSeptember 22, 2015

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