Amy Nichols, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116418 Issued in MA

Practice address

101 Mechanic St
Gardner, MA 01440-3119

Phone

(978) 668-3008

NPI assigned

May 15, 2009

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 names 1

• Ms. Amy Chandonait Former name

Medicare fee-for-service enrollment

Enrolled in MA

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/youinc/r4/

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.

• Youth Opportunities Upheld, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Worcester, MA
  • NPI 1245317205
  Medicare reassignment NPD
• Crosswalk Behavioral Health Inc.

  • Mental Health Counselor
  • Westminster, MA
  • NPI 1174947014
  NPD (past)
• Youth Opportunites Uphelp, Inc.

  • Community/Behavioral Health Agency
  • Gardner, MA
  • NPI 1013228303
  NPD (past)

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682726400000",
    "number": "1790910073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MECHANIC ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403119",
            "telephone_number": "978-668-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MECHANIC ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403119",
            "telephone_number": "978-668-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2023-04-29",
        "certification_date": "2023-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CHANDONAIT",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Priscila L Neto, PHARMD
• New England Sound LLC
• Chantal L. Newkirk
• Charlene M Newman, LMHC
• Kristina L Nicastro, MSW INTERN
• Cory Michael Nohl, M.D.
• Carol M. Nolin, MS, RD, LDN, CDE
• Jennifer Marie Nolin, PMHNP
• Norcoop Therapeutic Services
• North Central Human Serv Inc

• Clinical Social Worker in Gardner, MA
• Providers in Gardner, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2023; 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.