Jamie Nichols, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

50600 Issued in TX

Practice address

120 S Washington St
La Grange, TX 78945-2629

Phone

(737) 322-0588

NPI assigned

Aug 15, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Journey Behavioral Health Center PLLC

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1285400424
  NPD
• The Oaks Life Center, PLLC

  • Clinical Social Worker
  • Fort Worth, TX
  • NPI 1588036370
  NPD

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

{
    "created_epoch": "1628985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1700551371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S WASHINGTON ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452629",
            "telephone_number": "737-322-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S WASHINGTON ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452629",
            "telephone_number": "737-322-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JAMIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-15",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M McBroom, M.D.
• Rebekah McNulty, LICSW
• Monument Rehabilitation and Nursing Center, LLP
• Angela Christine Murphy, LCSW
• My Lighthouse of Hope, Inc.
• Michael Charles Nondorf, DDS
• Ana Christine Norwood, MA, LPCA, NCC
• Oakbend Medical Center (Avir at La Grange)
• Veronica Olivares-Garza
• Alaina Christen Petzold, PT, DPT

• Clinical Social Worker in La Grange, TX
• Providers in La Grange, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.