Active NPIIndividual provider

Mrs. Katrina M Nichols, LICSW

Social Worker, Clinical in Brewster, Massachusetts

NPI Number1659864890
Practice location
456 Flax Pond RD, Brewster, MA 02631-2133
Fax
—
Last updated
September 13, 2019

Katrina Mary Nichols is a Social Worker, Clinical based in Brewster, MA. Katrina Mary Nichols practices in Brewster, MA and has the professional credentials of LICSW. The NPI Number for Katrina Mary Nichols is 1659864890 and holds a License No. Isw02639 (RI). The current practice location address for Katrina Mary Nichols is 456 Flax Pond RD, Brewster, MA 02631-2133 and can be reached out via phone at 604-801-2386.

Provider Profile Details

NPI Number
1659864890
Provider Name
Katrina Mary Nichols
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
456 Flax Pond RD, Brewster, MA 02631-2133
Phone Number
604-801-2386
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Katrina Mary Nickerson, LICSW (Former Name)
Provider Enumeration Date
June 12, 2018
Last Update Date
September 13, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
456 Flax Pond RD
Brewster, MA 02631-2133
Zip
02631-2133
Phone Number
604-801-2386
Brewster, MA 02631Get directions →

Provider Business Mailing Address Details

Address
237 Old Mill RD
Marstons Mills, MA 02648-1054
City
Marstons Mills
State
MA
Zip
02648-1054
Phone Number
603-801-2386

License Information

License Number (1)
Isw02639
License State (1)
RI
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
121724
License State (2)
MA
Taxonomy (2)
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 Mrs. Katrina M Nichols, LICSW?

The NPI number of Mrs. Katrina M Nichols, LICSW is 1659864890. It was assigned on June 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Mrs. Katrina M Nichols, LICSW?

Mrs. Katrina M Nichols, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number Isw02639.

Where does Mrs. Katrina M Nichols, LICSW practice?

The practice location is 456 Flax Pond RD, Brewster, MA 02631-2133. The office can be reached at 604-801-2386 (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 1659864890 directly on the NPPES registry website.

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