Active NPI
Lindsay Nichols, LMSW
- Clinical Social Worker
- Prescott, AZ
National Provider Identifier
1548024003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW-22007
- Practice address
- 500 North Hwy 89
Building 161 Room 227
Prescott, AZ 86313 - Phone
- (928) 445-4860
- NPI assigned
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LMSW-22007 | AZ | Primary |
Addresses
Primary practice location
500 North Hwy 89
Building 161 Room 227
Prescott, AZ 86313
Mailing address
500 North Hwy 89
Building 161 Room 227
Prescott, AZ 86313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-22007 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1548024003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NORTH HWY 89",
"address_2": "BUILDING 161 ROOM 227",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NORTH HWY 89",
"address_2": "BUILDING 161 ROOM 227",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "928-445-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "LINDSAY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LMSW-22007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.