Individual provider Active NPI

Donna Eileen Didas, LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1790045466
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5331960-3501 Issued in UT
Practice address
450 S 900 E Ste 300
Salt Lake City, UT 84102-3064
Phone
(801) 534-7901
Fax
(801) 532-3608
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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 5331960-3501 UT Primary

Addresses

Primary practice location

450 S 900 E Ste 300
Salt Lake City, UT 84102-3064

Mailing address

450 S 900 E Ste 300
Salt Lake City, UT 84102-3064
Phone (801) 534-7901

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5331960-3501UTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1790045466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S 900 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023064",
            "telephone_number": "801-534-7901",
            "fax_number": "801-532-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S 900 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023064",
            "telephone_number": "801-534-7901",
            "fax_number": "801-532-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDAS",
        "first_name": "DONNA",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "5331960-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 29, 2012; 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.