Active NPI
Nicholas Maurice Cheek-O'Donnell, LCSW
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1194340448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 89474433501
- Practice address
- 1950 Circle of Hope Dr
BMT Clinic
Salt Lake City, UT 84112 - Phone
- (801) 587-4695
- NPI assigned
- Jun 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 89474433501 | UT | Primary |
Addresses
Primary practice location
1950 Circle of Hope Dr
BMT Clinic
Salt Lake City, UT 84112
Mailing address
1950 Circle of Hope Dr
BMT Clinic
Salt Lake City, UT 84112
Phone (801) 587-4695
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89474433501 | Other | UT | DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING - ACTIVE LICENSE REFERENCE NUM |
Other names 1
- Nico Cheek-O'Donnell
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NODONNELL53100@DIRECT.MED.UTAH.EDU | Direct | University of Utah |
| Direct Messaging Address | nico.cheek-odonnell@hci.utah.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89474433501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan West Family Counseling Inc | Past | Accepting new patients |
Interoperability endpoints
- nodonnell53100@direct.med.utah.edu
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Jordan, UT
- NPI 1508811480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1194340448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 CIRCLE OF HOPE DR",
"address_2": "BMT CLINIC",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84112",
"telephone_number": "801-587-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 CIRCLE OF HOPE DR",
"address_2": "BMT CLINIC",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84112",
"telephone_number": "801-587-4695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEEK-O'DONNELL",
"first_name": "NICHOLAS",
"middle_name": "MAURICE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-12",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "89474433501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING - ACTIVE LICENSE REFERENCE NUM",
"identifier": "89474433501",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NODONNELL53100@DIRECT.MED.UTAH.EDU",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nico.cheek-odonnell@hci.utah.edu",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1950 Circle of Hope Dr",
"address_2": "BMT Clinic",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "84112",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NICO",
"last_name": "CHEEK-O'DONNELL",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.