Individual provider Active NPI

Nichole Darby Foster, BA, CADC I

  • Clinical Social Worker
  • Edmond, OK
National Provider Identifier
1790245652
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW134548 Issued in CA
Practice address
2011 W Danforth Rd # 115
Edmond, OK 73003-4685
Phone
(405) 252-0140
NPI assigned
Mar 25, 2019
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW134548 CA Primary

Addresses

Primary practice location

2011 W Danforth Rd # 115
Edmond, OK 73003-4685

Mailing address

2011 W Danforth Rd # 115
Edmond, OK 73003-4685
Phone (405) 252-0140

Other names 1

  • Mrs. Nichole Darby Driscoll Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address darby@sacred-space-therapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
LCSW134548CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1790245652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 W DANFORTH RD # 115",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034685",
            "telephone_number": "405-252-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 W DANFORTH RD # 115",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034685",
            "telephone_number": "405-252-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "NICHOLE",
        "middle_name": "DARBY",
        "name_prefix": "Mrs.",
        "credential": "BA, CADC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW134548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "darby@sacred-space-therapy.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2011 W Danforth Rd # 115",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730034685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "DRISCOLL",
            "middle_name": "DARBY",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.