Tesia Patrice Nichols, MSW, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6406 Issued in SD

Practice address

5048 E 57TH St Ste B
Sioux Falls, SD 57108-8821

Phone

(605) 306-3240

Fax

(605) 271-3376

NPI assigned

Jul 31, 2023

Last updated

Aug 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not 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.

• Integrated Care and Consultation, LLC

  • Mental Health Counselor
  • Sioux Falls, SD
  • NPI 1336702273
  NPD (past)

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1699456814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 E 57TH ST STE B",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088821",
            "telephone_number": "605-306-3240",
            "fax_number": "605-271-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 E 57TH ST STE B",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088821",
            "telephone_number": "605-306-3240",
            "fax_number": "605-271-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TESIA",
        "middle_name": "PATRICE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SD",
            "license": "6406",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "6406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Nibbelink, PHARM.D.
• Nicholas Breuer Psychotherapy LLC
• Dcruz Nicholas, LPC
• Adam Hailes Nichols, D.P.M.
• Justin M. Nichols, DDS
• Laura Nicholson, BSN RN GERO-BC
• Kelli Nickerson, RD
• Nicole Velgersdyk Counseling, LLC
• Razvan Nicolescu, M.D.
• Connie Niederauer, RDN

• Social Worker in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.