Ralph H Nichols, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34000731A Issued in IN

Practice address

310 S 5TH Ave
Princeton, IN 47670-3519

Phone

(812) 385-5275

Fax

(812) 422-7558

NPI assigned

Aug 16, 2006

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

Other identifiers 2

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.

• Mulberry Center, Inc.

  • Clinical Social Worker
  • Evansville, IN
  • NPI 1407919848
  NPD (past)
• Southwestern Behavioral Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evansville, IN
  • NPI 1255168126
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1326151291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MULBERRY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131230",
            "telephone_number": "812-423-7791",
            "fax_number": "812-422-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 5TH AVE",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476703519",
            "telephone_number": "812-385-5275",
            "fax_number": "812-422-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "RALPH",
        "middle_name": "H",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000731A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100240880",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "34000731A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Melvin Murray, DDS
• Krishna Murthy, M.D.
• Kendall R. Nelson, M.A.,LMFT, LCSW
• Linda Sue Neuhoff, OD
• Tabitha Ann Newman
• North Gibson School Corporation
• Stacey L Novotny, CPHT
• Brian F Nowlen, DPM
• Jon O'Keefe, LMFT
• Angela L Olson, NP

• Clinical Social Worker in Princeton, IN
• Providers in Princeton, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.