Susan Cummings Nicholson, PHD, LCSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003048 Issued in VA

Practice address

703 Thimble Shoals Blvd
A-3
Newport News, VA 23606-2576

Phone

(757) 873-3401

Fax

(757) 223-1165

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thimble Shoals Counseling & Therapy Center PC

  dba Susan C Nicholson PhD, LCSW dba Thimble Shoals Counseling & Therapy Ce

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1033138227
  Medicare reassignment NPD Authorized official
• Edward H Tiller PHD PC

  dba Williamsburg Centre For Therapy

  • Psychologist
  • Williamsburg, VA
  • NPI 1639252919
  NPD (past)
• Page Memorial Hospital, Inc.

  dba Valley Health Shenandoah Medical Associates

  • Rural Health Clinic/Center
  • Front Royal, VA
  • NPI 1083236970
  NPD (past)
• T Med Behavioral Inc

  • Clinical Psychologist
  • Fairfax, VA
  • NPI 1497719272
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202601600000",
    "number": "1023232626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WOODBURNE LN",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028363",
            "telephone_number": "757-869-2361",
            "fax_number": "757-223-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 THIMBLE SHOALS BLVD",
            "address_2": "A-3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062576",
            "telephone_number": "757-873-3401",
            "fax_number": "757-223-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "SUSAN",
        "middle_name": "CUMMINGS",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW, BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vy Tuong Vu Nguyen, PA-C
• Tiffany Ni
• Allen Bryant Nichols, MD
• Mark Nichols, M.A., LPC
• Anne Barrett Nicholson, LCSW
• Chesla Nickelson
• Theresa Louise Nickens
• Nicole Aldridge Services (Village Wellness)
• Rajendra Nidal, DO
• Sean Nielsen, MD

• Clinical Social Worker in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.