Active NPI
Melissa Sue Nichols
- Clinical Social Worker
- Hyde Park, UT
National Provider Identifier
1396006003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8957395-3502
- Practice address
- 338 W 300 N
Hyde Park, UT 84318-4044 - Phone
- (435) 774-4113
- Fax
- (435) 535-3197
- NPI assigned
- May 30, 2012
- Last updated
- Jul 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8957395-3502 | UT | Primary |
Addresses
Primary practice location
338 W 300 N
Hyde Park, UT 84318-4044
Mailing address
338 W 300 N
Hyde Park, UT 84318-4044
Phone (435) 774-4113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8957395-3502 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa Nichols Psychotherapy | Clinical | Current | Accepting new patients |
Locations
338 W 300 N
Hyde Park, UT 84318
Phone (435) 744-4113
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Hyde Park, UT
- NPI 1871379016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1396006003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 W 300 N",
"city": "HYDE PARK",
"state": "UT",
"postal_code": "843184044",
"telephone_number": "435-774-4113",
"fax_number": "435-535-3197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 W 300 N",
"city": "HYDE PARK",
"state": "UT",
"postal_code": "843184044",
"telephone_number": "435-774-4113",
"fax_number": "435-535-3197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "MELISSA",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "8957395-3502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyde Park, UT
- Melanie Elder Stoddard LCSW LLC
- Melissa Nichols Psychotherapy
- Miriam Gunn - Coaching & Family Therapy (Leave Better Therapy)
- Morgan Carlson Enterprises Inc
- Brook Whitney Murphy, LCSW
- Tyler Jeffrey Noall, DC
- Roger Timothy Park, DO
- Private Healthcare Facilities
- Prosper Mental Health
- Ashley Reeder Rasmussen, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.