Bobbi Jo Marie Nichols, MSSW, APSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

619 River St
Suite F
Belleville, WI 53508-9117

Phone

(608) 445-3453

NPI assigned

Mar 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 WI

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

McPst Management CorporationGroup PAC ID 4880660778, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• McPst Management Corporation

  dba Midwest Ctr for Psychotherapy & Sex Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middleton, WI
  • NPI 1619918877
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396861837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7216 UNIVERSITY AVE",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622760",
            "telephone_number": "608-347-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 RIVER ST",
            "address_2": "SUITE F",
            "city": "BELLEVILLE",
            "state": "WI",
            "postal_code": "535089117",
            "telephone_number": "608-445-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "BOBBI JO",
        "middle_name": "MARIE",
        "credential": "MSSW, APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43712900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan William Miller, MD
• Bobbie J Mitchell
• Paul Mross
• Neighborhood Smiles of Belleville, LLC
• Abigail Marie Nelson, RN BSN
• Kati J Niekerk, LMSW
• Tera O'Connor, LMFT
• Stephen W. Olcott, M.D.
• Matthew Marvin Pechacek, DPT
• Ashley Pierstorff, LPN

• Clinical Social Worker in Belleville, WI
• Providers in Belleville, WI by specialty
• Clinical Social Worker in Wisconsin

• 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.