Individual provider Active NPI

Aaron Nicolaides, LCSW

  • Clinical Social Worker
  • Ogden, UT
National Provider Identifier
1578840005
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5962187-3501 Issued in UT
Practice address
5742 Adams Ave Pkwy Ste C
Ogden, UT 84405-7158
Phone
(385) 250-3314
NPI assigned
Nov 11, 2011
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5955-C NV
Clinical Social Worker 1041C0700X 5962187-3501 UT Primary

Addresses

Primary practice location

5742 Adams Ave Pkwy Ste C
Ogden, UT 84405-7158

Mailing address

5742 Adams Ave Pkwy Ste C
Ogden, UT 84405-7158
Phone (385) 250-3314

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Other Other

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
I20210920003480 UT Practitioner - Clinical Social Worker 5597655761 Practice locations: Washington Terrace, UT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5742 Adams Ave Pkwy
Suite C
Washington Terrace, UT 84405-7158
Phone (385) 250-3314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5955-CNVMDClinical Social Worker
5962187-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeuo Health Clinical CurrentSince Sep 5, 2024 Accepting new patients

Locations

5742 S 500 E
Ste C
Washington Terrace, UT 84405
Phone (385) 250-3314

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, 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": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1578840005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5742 ADAMS AVE PKWY STE C",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844057158",
            "telephone_number": "385-250-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5742 ADAMS AVE PKWY STE C",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844057158",
            "telephone_number": "385-250-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAIDES",
        "first_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-11",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5955-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5962187-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "address_1": "5742 Adams Ave Pkwy Ste C",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844057158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.