MEDICARE: LAURELIE DELLI GATTI MSW, CSWI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	6858753-3506	UT
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	6858753-6006	UT

General Provider Information

NPI Number	:	1649871211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURELIE DELLI GATTI MSW, CSWI

Provider Business Mailing Address
First Line	:	830 E ALTAMONT LAKE LN APT 1121
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84094-2805
Country	:	US
Telephone Number	:	801-664-3001
Fax Number	:

Provider Business Practice Location Address
First Line	:	9561 S 700 E STE 101
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-3484
Country	:	US
Telephone Number	:	801-572-1696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2020
Last Update Date	:	01/22/2026

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