Patricia M Nichols

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PATRICIA M NICHOLS

Practice address

502 S 4TH St
Laramie, WY 82070-3704

Phone

(307) 755-1000

NPI assigned

May 9, 2022

Last updated

May 9, 2022By 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

Patricia Nichols, LCSWNPI 1407205636

Title

Therapist

Phone

(307) 755-1000

Specialties & licenses 1

Addresses

Locations

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.

• Patricia M Nichols, LCSW

  • Clinical Social Worker
  • Laramie, WY
  • NPI 1407205636
  Authorized official Same address or phone

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1609512086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703704",
            "telephone_number": "307-755-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703704",
            "telephone_number": "307-755-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA M NICHOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "307-755-1000",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Laramie, WY
• Providers in Laramie, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.