Amy N Nichols, MSW, LCSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60034577 Issued in WA

Practice address

8290 165TH Ave NE
Redmond, WA 98052-3948

Phone

(425) 869-2644

Fax

(425) 867-0930

NPI assigned

Jul 11, 2006

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)

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 and National Provider Directory roles.

• Emmaus Counseling Service PS

  dba Emmaus Counseling Center

  • Mental Health Counselor
  • Redmond, WA
  • NPI 1548321789
  NPD (past)
• Lutheran Family and Children's Services of Missouri

  • Counselor
  • Saint Louis, MO
  • NPI 1427082395
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1427083518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 LAKE ALICE RD SE",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "980246703",
            "telephone_number": "425-444-8861",
            "fax_number": "425-222-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8290 165TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523948",
            "telephone_number": "425-869-2644",
            "fax_number": "425-867-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "AMY",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60034577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ngoc Nguyen, PHARM.D., BCPS
• Phuc Nguyen, EAMP
• Tung Nguyen, DDS
• Vince Duc Nguyen, PHARMD
• William Toan Nguyen, M.D.
• Dena E Nichols, MS
• Jacqueline Nienaber, LMHC
• Nima Ehsan MD DDS PLLC (Redmond Implant and Oral Surgery)
• Peter Kimani Njenga
• Robert Carl Nohle Jr.

• Clinical Social Worker in Redmond, WA
• Providers in Redmond, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.