Audrie M Nicholson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW0000008505 Issued in TN

Practice address

1314 Main St N
Carthage, TN 37030-1054

Phone

(615) 594-5490

NPI assigned

May 11, 2021

Last updated

Dec 6, 2024By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1730763087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 GRANT HWY",
            "city": "GORDONSVILLE",
            "state": "TN",
            "postal_code": "385634550",
            "telephone_number": "615-594-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 MAIN ST N",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370301054",
            "telephone_number": "615-594-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "192 Grant Hwy",
            "address_purpose": "LOCATION",
            "city": "Gordonsville",
            "state": "TN",
            "postal_code": "385634550",
            "country_code": "US",
            "telephone_number": "615-594-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "AUDRIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000008505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF SOCIAL WORKER LICENSURE",
            "identifier": "LSW0000008505",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cozette West Manus, PHARM D
• Martha Michelle McCormick
• David W McDonald, DDS
• Mehta Care, LLC
• Michael R. Hassell, O.D., P.C. (Family Eye Care)
• Reyna Elisa Niner, MD
• Allan E. Overby, ATC
• Casey J Owen, D.D.S.
• Premier Medical Associates LLC
• Red Bank Radiology, P.C.

• Clinical Social Worker in Carthage, TN
• Providers in Carthage, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.