Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. NICHOLAS KONSTANTINE TSANDES LCSW
NPI 1124076625
Social Worker - Clinical in Salt Lake City, UT

Active since May 05, 2006Opted out of Medicare · through Aug 29, 2027
2040 MURRAY HOLLADAY RD, SUITE 117, SALT LAKE CITY, UT 84117(801) 913-1497 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Nicholas Konstantine Tsandes Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NICHOLAS KONSTANTINE TSANDES LCSW (NPI 1124076625) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (373374-3501) and active in the NPI registry since May 2006. He has opted out of Medicare through August 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124076625
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. NICHOLAS KONSTANTINE TSANDESCredential: LCSW
Location Address2040 MURRAY HOLLADAY RD, SUITE 117Salt Lake City, UT 84117-5185
Mailing Address1814 Fieldcrest LnSalt Lake City, UT 84117-5941 · (801) 274-2794
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1124076625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in UT · 373374-3501
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2040 MURRAY HOLLADAY RD, Salt Lake City, UT 84117

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Nicholas Konstantine Tsandes Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 29, 2017 through August 29, 2027.

Opt-Out Effective DateAugust 29, 2017
Opt-Out In Effect ThroughAugust 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2040 MURRAY HOLLADAY RD, SUITE 206
HOLLADAY, UT 84117
Social Worker (Clinical)
2040 MURRAY HOLLADAY RD, SUITE 222
HOLLADAY, UT 84117
Specialist
2040 MURRAY HOLLADAY RD, SUITE 209
SALT LAKE CITY, UT 84117
Dentist (General Practice)
2040 MURRAY HOLLADAY RD, #200
SALT LAKE CITY, UT 84117
Registered Nurse
2040 MURRAY HOLLADAY RD
SALT LAKE CITY, UT 84117
Psychologist
2040 MURRAY HOLLADAY RD, SUITE 211
SALT LAKE CITY, UT 84117
Social Worker (Clinical)
2040 MURRAY HOLLADAY RD, SUITE 211
SALT LAKE CITY, UT 84117
Physical Therapist
2040 MURRAY HOLLADAY RD, 205
HOLLADAY, UT 84117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Tsandes's NPI number?

The NPI number for Nicholas Tsandes is 1124076625. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Nicholas Tsandes located?

Nicholas Tsandes practices at 2040 Murray Holladay Rd Suite 117, Salt Lake City, UT 84117. The listed phone number is (801) 913-1497.

What is Nicholas Tsandes's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicholas Tsandes enrolled in Medicare?

No. Nicholas Tsandes has opted out of Medicare through August 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nicholas Tsandes was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.