Kimberly Jean Nichols, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R076662-1 Issued in NY

Practice address

245 N Broadway Ste 101
Sleepy Hollow, NY 10591-2657

Phone

(914) 257-3593

NPI assigned

Sep 12, 2014

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

Other names 1

• Kimberly Scamarone Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Taking Care of Me, LCSW, PLLC

  • Clinical Social Worker
  • Monroe, NY
  • NPI 1457055303
  NPD Authorized official
• Turning Point Behavioral Health, LCSW, PLLC

  • Clinical Social Worker
  • West Nyack, NY
  • NPI 1609246628
  NPD (past)

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1205237948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 ROSEWOOD CT",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109305222",
            "telephone_number": "914-257-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N BROADWAY STE 101",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912657",
            "telephone_number": "914-257-3593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 W Nyack Rd",
            "address_2": "Suite 40",
            "address_purpose": "LOCATION",
            "city": "West Nyack",
            "state": "NY",
            "postal_code": "109942240",
            "country_code": "US",
            "telephone_number": "845-353-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "KIMBERLY",
        "middle_name": "JEAN",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R076662-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SCAMARONE",
            "credential": "LCSW-R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Neha Dave,DDS P.C.
• New York Eye and Face Oculoplastic Surgery PLLC
• New York Eye and Face, PLLC
• Mary Agnes Newell, D.O.
• Annie Tram Anh Ngoc Nguyen, DO
• Nicole S Jackson, Family NP,PC
• Emil J Nigro, MD
• Sherin Mary Ninan, FNP
• Amy Noble
• Dahlia Nolasco, MD

• Clinical Social Worker in Sleepy Hollow, NY
• Providers in Sleepy Hollow, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.