Jason Nicholsen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50080958 Issued in DC

Practice address

2301 Martin Luther King Jr Ave SE
Whitman Walker Health
Washington, DC 20020-5813

Phone

(347) 834-3781

NPI assigned

Jun 10, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Within Reach, LLC

  • Clinical Social Worker
  • Washington, DC
  • NPI 1265968267
  NPD (past) Authorized official

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1548673387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 20TH ST NE",
            "address_2": "#1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026752",
            "telephone_number": "347-834-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MARTIN LUTHER KING JR AVE SE",
            "address_2": "WHITMAN WALKER HEALTH",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205813",
            "telephone_number": "347-834-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSEN",
        "first_name": "JASON",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG50081076",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kobie Nichols, MT
• Maria Ferrer Nichols, DDS
• Michael Stephen Nichols
• Natalie Nichols, LPC
• Rhamar Nichols
• Ashley Ryles Nicholson, MD
• McArthur Nicholson
• Mickaela Nicholson, PH.D.
• Nakia Nicholson
• Princess Ann Nicholson

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.