Christen Shiber Nichols, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019907 Issued in PA

Practice address

6301 Forbes Ave Ste 120
Pittsburgh, PA 15217-1725

Phone

(412) 945-0601

Fax

(412) 345-1610

NPI assigned

Dec 3, 2015

Last updated

Oct 5, 2021By the provider in NPPES

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1528433448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 FORBES AVE STE 120",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171725",
            "telephone_number": "412-945-0601",
            "fax_number": "412-345-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 FORBES AVE STE 120",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171725",
            "telephone_number": "412-945-0601",
            "fax_number": "412-345-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "CHRISTEN",
        "middle_name": "SHIBER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas George Pelescak
• Alexandra Nicholas
• James E Nicholas, MD
• Kelly Nicholas
• Beth Susan Nichols
• Cory Nichols, CRNA
• Danae Lee Nichols
• Grace Nichols, FNP-C
• Jessica Nichols, PHARMD
• Julie Lynn Nichols, PT

• Clinical Social Worker in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.