Bill Nichols LCSW, LCDC, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

534626 Issued in TX

Legal business name

BILL NICHOLS LCSW, LCDC, PLLC

Practice address

406 S Chestnut St
McKinney, TX 75069-5610

Phone

(972) 548-7590

Fax

(866) 734-1205

NPI assigned

Jan 6, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Willian Edward Nichols, LCSW LCDC

Title

Owner

Phone

(903) 268-2796

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1357430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357430400000",
    "number": "1508103987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8083",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754048083",
            "telephone_number": "903-268-2796",
            "fax_number": "866-734-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S CHESTNUT ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750695610",
            "telephone_number": "972-548-7590",
            "fax_number": "866-734-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL NICHOLS LCSW, LCDC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-06",
        "last_updated": "2013-01-06",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "WILLIAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-268-2796",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "2359",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "534626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in McKinney, TX
• Providers in McKinney, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2013; 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.