Individual provider Active NPI

Nicholas Maurice Cheek-O'Donnell, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1194340448
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
89474433501 Issued in UT
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

Updated by the provider on Dec 3, 2021

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 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

IdentifierTypeStateIssuer
89474433501OtherUTDIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING - ACTIVE LICENSE REFERENCE NUM

Other names 1

  • Nico Cheek-O'Donnell Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
89474433501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan West Family Counseling Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.