Alton J Nichols III, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1028864 Issued in MA

Practice address

152 North St
Suite 330
Pittsfield, MA 01201-5149

Phone

(413) 443-8480

Fax

(413) 443-8455

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in MA

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Robert J. Boylston Inc.

  • Clinical Social Worker
  • Pittsfield, MA
  • NPI 1205229838
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366528788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 NORTH ST",
            "address_2": "SUITE 330",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015149",
            "telephone_number": "413-443-8480",
            "fax_number": "413-443-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 NORTH ST",
            "address_2": "SUITE 330",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015149",
            "telephone_number": "413-443-8480",
            "fax_number": "413-443-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ALTON",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1028864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyan Nguyen, PA-C
• Sopheap Nhim, BCBA
• Helen Ni, LICSW
• Aubrey Nichlen
• Karissa Nichols White
• Elise Nichols, D.P.T
• Valerie Nichols, OT
• Catherine Nickerson
• Mark E Nicoletti, M.D.
• Valerie S. Nicoletti, M.D.

• Clinical Social Worker in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.