Individual provider Active NPI

Kevin Cook, LCSW

  • Clinical Social Worker
  • Orem, UT
National Provider Identifier
1033480132
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7942817-3501 Issued in UT
Practice address
1443 W 800 N Ste 103
Orem, UT 84057-2878
Phone
(801) 655-4950
NPI assigned
Jan 20, 2012
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7942817-3501 UT Primary

Addresses

Primary practice location

1443 W 800 N Ste 103
Orem, UT 84057-2878

Mailing address

1118 Eclipse Dr
Saint George, UT 84770-8027
Phone (435) 414-5586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031001054 UT Practitioner - Clinical Social Worker 0840522421 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Specialists of Utah, LLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Todays Youth Inc. Past Accepting new patients

Locations

3321 N Buffalo Dr
Ste 200
Las Vegas, NV 89129
Phone (702) 515-1373

1000 W Bellwood Ln
Salt Lake City, UT 84123
Phone (801) 520-3416

595 S Bluff St
Ste 1
St George, UT 84770
Phone (435) 319-7800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1033480132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ECLIPSE DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847708027",
            "telephone_number": "435-414-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 W 800 N STE 103",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572878",
            "telephone_number": "801-655-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-20",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7942817-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.