Active NPIIndividual provider

Elena S Nichols, LICSW

Social Worker, Clinical in Winooski, Vermont

NPI Number1013588490
Practice location
486 Main St Apt A, Winooski, VT 05404-1338
Fax
—
Last updated
July 7, 2021

Elena Sergeyevna Nichols is a Social Worker, Clinical based in Winooski, VT. Elena Sergeyevna Nichols practices in Winooski, VT and has the professional credentials of LICSW. The NPI Number for Elena Sergeyevna Nichols is 1013588490 and holds a License No. 089.0119566 (VT). The current practice location address for Elena Sergeyevna Nichols is 486 Main St Apt A, Winooski, VT 05404-1338 and can be reached out via phone at 802-865-3450.

Provider Profile Details

NPI Number
1013588490
Provider Name
Elena Sergeyevna Nichols
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
486 Main St Apt A, Winooski, VT 05404-1338
Phone Number
802-865-3450
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2021
Last Update Date
July 7, 2021
Certification Date
July 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
486 Main St Apt A
Winooski, VT 05404-1338
State
Vermont
Zip
05404-1338
Phone Number
802-865-3450
Winooski, VT 05404Get directions →

Provider Business Mailing Address Details

Address
486 Main St Apt A
Winooski, VT 05404-1338
City
Winooski
State
VT
Zip
05404-1338
Phone Number
802-865-3450

License Information

License Number
089.0119566
License State
VT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elena S Nichols, LICSW?

The NPI number of Elena S Nichols, LICSW is 1013588490. It was assigned on July 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Elena S Nichols, LICSW?

Elena S Nichols, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0119566.

Where does Elena S Nichols, LICSW practice?

The practice location is 486 Main St Apt A, Winooski, VT 05404-1338. The office can be reached at 802-865-3450 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013588490 directly on the NPPES registry website.

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