Vicki Nichols, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084486-1 Issued in NY

Practice address

649 W Park Ave
Long Beach, NY 11561-2943

Phone

(347) 255-9600

NPI assigned

Mar 16, 2016

Last updated

Feb 13, 2026By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1366803421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612943",
            "telephone_number": "347-255-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612943",
            "telephone_number": "347-255-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "VICKI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084486-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Physical and Occupational Therapy PLLC
• New York Podiatry Care PLLC
• Neil Howard Newman, M.D. D.C.
• Robert Newman, PH.D.
• Ka Yan NG, L.AC.
• Susan J Ninan, RPH
• Bruce Jay Nitsberg, MD
• Marissa Jeannette Nittoly, MS, CCC/SLP TSSLD
• Mary Nogueira, RPH
• Alexandra Ann O'Brien, P.T.

• Clinical Social Worker in Long Beach, NY
• Providers in Long Beach, 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 Feb 13, 2026; 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.