Amber C Nichols, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6789 Issued in TN

Practice address

10820 Kingston Pike Ste 4
Knoxville, TN 37934-3065

Phone

(865) 201-8112

Fax

(865) 297-4221

NPI assigned

Sep 10, 2013

Last updated

Jul 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Northglen Healing, PLLC

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1336604461
  Authorized official Same address or phone

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1295160166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 JENKINS RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379314416",
            "telephone_number": "865-235-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 KINGSTON PIKE STE 4",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343065",
            "telephone_number": "865-201-8112",
            "fax_number": "865-297-4221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7527 Jenkins Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37931",
            "country_code": "US",
            "telephone_number": "865-235-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7527 Jenkins Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37931",
            "country_code": "US",
            "telephone_number": "865-235-5741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "AMBER",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Hunt Nicaud, NP
• Mistica Rae Nicely, BA
• Michael Paul Nichol
• Desiree Nicholas
• Lynna Nicholas, MSW
• Chelsea Nichols
• Dale Ellen Nichols, M.D.
• Dawn W Nichols, MD
• Guy E Nichols, MD
• Jennifer Nichols, BA

• Clinical Social Worker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.