Nicholas Ryan Decourcey

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

127049 Issued in MA

Practice address

114 Water Tower Plaza
#1036
Leominster, MA 01453-2248

Phone

(351) 230-0385

Fax

(833) 664-4883

NPI assigned

Mar 3, 2020

Sex

Male

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 MA

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

State licenses

Practice roles

Locations

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.

• Aspirations Counseling

  • Clinical Social Worker
  • Worcester, MA
  • NPI 1750187944

  Mental Health

  Medicare reassignment NPD Authorized official
• The Edinburg Center Inc

  • Psychiatry Physician
  • Bedford, MA
  • NPI 1073617353

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1609400332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WATER TOWER PLAZA",
            "address_2": "#1036",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532248",
            "telephone_number": "351-230-0385",
            "fax_number": "833-664-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WATER TOWER PLAZA",
            "address_2": "#1036",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532248",
            "telephone_number": "351-230-0385",
            "fax_number": "833-664-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOURCEY",
        "first_name": "NICHOLAS",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "127049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirian De Souza
• Dean a Morrel DO
• Bonny C Debeaucourt, CASE MANAGER
• Mariatu Decamp
• Rebecca Decoteau, AGACNP-BC
• Erica A Dee, NP
• Deeply Rooted Wellness and Counseling
• Alli Delgiudice, DPT, PT
• Delisle Chiropractic
• Nikki Delisle

• Clinical Social Worker in Leominster, MA
• Providers in Leominster, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.