Individual provider Active NPI

Lucy Caroline Nichols, LCSW, PIP

  • Clinical Social Worker
  • Vestavia, AL
National Provider Identifier
1629298518
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1853C Issued in AL
Practice address
4126 Autumn LN
Vestavia, AL 35243-5209
Phone
(205) 515-7784
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1853C AL Primary

Addresses

Primary practice location

4126 Autumn LN
Vestavia, AL 35243-5209

Mailing address

1021 Bienville CT
Birmingham, AL 35213-2011
Phone (205) 515-7784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 18, 2025 through Sep 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1853CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lcnichols, LLC CurrentSince Sep 5, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1629298518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 BIENVILLE CT",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352132011",
            "telephone_number": "205-515-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 AUTUMN LN",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435209",
            "telephone_number": "205-515-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "LUCY",
        "middle_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "LCSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1853C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.