Mary W. Nicholas, PHD, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001336 Issued in CT

Practice address

441 Orange St
New Haven, CT 06511-6217

Phone

(203) 776-4495

Fax

(203) 458-6068

NPI assigned

Jul 26, 2006

Last updated

Sep 11, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Alan H. Lovins PH D P C

  • Clinical Psychologist
  • New Haven, CT
  • NPI 1104157833
  NPD (past)
• Barbara Greten Psychotherapy, LLC

  • Clinical Social Worker
  • Meriden, CT
  • NPI 1376837583
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1740204890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WATER ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372861",
            "telephone_number": "203-458-0661",
            "fax_number": "203-458-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116217",
            "telephone_number": "203-776-4495",
            "fax_number": "203-458-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "MARY",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "credential": "PHD, L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "001336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuong-VI Nguyen, MD
• Wilson Thanh Nguyen, PA
• Nhurx LLC
• Nhurx LLC
• Nia Health Group LLC (Nia Health Clinic)
• Sarah Shane Nicholls, PH.D.
• Allen Daniel Nicholson, M.D.
• Phillipa Nicholson, LPN
• Nicole R. Kerr, LLC
• Zoe Sylvia Nicozisin, MD

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.