David Kenneth Nicholas, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085618 Issued in MI

Practice address

3760 Cleary Dr
Howell, MI 48843-8542

Phone

(517) 548-0081

NPI assigned

Apr 14, 2008

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1124292974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CLEARY DR",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 CLEARY DR",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438542",
            "telephone_number": "517-548-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "DAVID",
        "middle_name": "KENNETH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Scott Newberry, L.M.S.W.
• Karen Elizabeth Newman, LLMSW
• Phu Huu Hoang Nguyen, D.D.S.
• Amy Nicholas, LMSW
• Charles Joseph Nicholas, MSW
• Rhiannon A Nichols-Lee, LMSW
• Leanne Marie Nichols, MA, AT, ATC, PES
• Kimberly Nicholson, RN
• Cora Lynn Nickerson
• Chad Robert Nixon, O.D.

• Clinical Social Worker in Howell, MI
• Providers in Howell, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.