Edward Nichols, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

027557-1 Issued in NY

Practice address

22 Weir St
3Rd Floor
Sidney, NY 13838-1022

Phone

(607) 563-8707

Fax

(607) 563-7099

NPI assigned

Jun 15, 2012

Last updated

Oct 11, 2012By the provider in NPPES

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

Other names 1

• Mr. Edward Arbuiso Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edward Nichols Edward Nichols Consulting

  • Clinical Social Worker
  • Sidney, NY
  • NPI 1508121971
  NPD (past) Authorized official

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1669734596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2141",
            "city": "SIDNEY",
            "state": "NY",
            "postal_code": "138382141",
            "telephone_number": "607-563-8707",
            "fax_number": "607-563-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WEIR ST",
            "address_2": "3RD FLOOR",
            "city": "SIDNEY",
            "state": "NY",
            "postal_code": "138381022",
            "telephone_number": "607-563-8707",
            "fax_number": "607-563-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "EDWARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "027557-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "ARBUISO",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Helena Maureen Meyer, LCSW
• Michael Farrell Inc.
• Carissa A Neubert, PAC
• New York Optometry Professional PLLC
• Margaret A Nezelek, LCSW
• OBGYN of Sidney PC
• Kelly Ann Palmatier, RPH
• Julia Marie Parsons, DNP, FNP
• Khalid Parwez, MD
• Miranda Korrin Peck, LPN

• Clinical Social Worker in Sidney, NY
• Providers in Sidney, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.