Edward Nichols Edward Nichols Consulting

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R027557 Issued in NY

Legal business name

EDWARD NICHOLS EDWARD NICHOLS CONSULTING

Practice address

22 Weir St
3Rd Floor
Sidney, NY 13838-1022

Phone

(607) 563-8707

Fax

(607) 563-7099

NPI assigned

Jul 11, 2012

Last updated

Jul 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Nichols, LCSWNPI 1669734596

Title

Sole Owner

Phone

(607) 563-8707

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Nichols, LCSW

  • Clinical Social Worker
  • Sidney, NY
  • NPI 1669734596
  NPD (past) Authorized official

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1508121971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WEIR ST",
            "address_2": "3RD FLOOR",
            "city": "SIDNEY",
            "state": "NY",
            "postal_code": "138381022",
            "telephone_number": "607-563-8707",
            "fax_number": "607-563-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WEIR ST",
            "address_2": "3RD FLOOR",
            "city": "SIDNEY",
            "state": "NY",
            "postal_code": "138381022",
            "telephone_number": "607-563-8707",
            "fax_number": "607-563-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD NICHOLS EDWARD NICHOLS CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "607-563-8707",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laci Ahne Daniels, RN
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• Kenneth Edward Demott, FNP
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• Dr. George T Roberts, Optometrist, PLLC
• Mark J. Edwards, D.C.
• Emergency Squad No 1 of Sidney Fire Dept of the Village of Sidney Inc (Sidney EMS)
• Fairbanks Pharmacy Inc.
• Family Acupuncture & Chiropractic
• Michael D Farrell, DPM

• Clinical Social Worker in Sidney, NY
• Providers in Sidney, 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 Jul 11, 2012; 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.