Kathryn Nichols, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070347-1 Issued in NY

Practice address

1131 Airport Rd
Milford, DE 19963-6418

Phone

(302) 422-8033

Fax

(302) 422-8050

NPI assigned

Aug 9, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

People's Place II, Inc.Group PAC ID 3173519436, 18 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• People's Place II, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milford, DE
  • NPI 1295871481
  Medicare reassignment Care Compare group
• Dr. Gabrielle McAndrews, Psy.D., PC

  • Community/Behavioral Health Agency
  • Port Jefferson, NY
  • NPI 1144629585
  NPD (past)
• Rena Ferguson, MD, PC

  • Psychiatry Physician
  • Setauket, NY
  • NPI 1477703924
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1336140722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20536 COURTNEY WAY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716418",
            "telephone_number": "302-260-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 AIRPORT RD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199636418",
            "telephone_number": "302-422-8033",
            "fax_number": "302-422-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070347-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02732218",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nephrology Associates PA ASC of Milford LLC
• New Beginnings Family Services
• New Choice Orthopedics, PA
• Dana Jesse Newman, MSW/LCSW
• Amanda Nguyen, DO
• Samantha Nichols
• Wilson Martin Nino, M.D.
• Martha Niziolek, FNP-BC
• Alexander Ngugi Njoroge, MD
• Christopher Noce, PHARMD

• Clinical Social Worker in Milford, DE
• Providers in Milford, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.