Nicole Marie Decher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2021021591 Issued in MO

Practice address

103 W 10TH St
Rolla, MO 65401-3247

Phone

(573) 433-4846

NPI assigned

Aug 9, 2016

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1801340609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18775 HIGHWAY 68",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655598729",
            "telephone_number": "732-979-9882",
            "fax_number": "573-774-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013247",
            "telephone_number": "573-433-4846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Historic 66 W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "MO",
            "postal_code": "655838322",
            "country_code": "US",
            "telephone_number": "573-433-4846",
            "fax_number": "573-774-3317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECHER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021021591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesa Elaine Davis, PA C
• Lisa Davis, LPC
• Mason McMillian Davis, PHARM.D.
• James M Davison, D.O.
• Opal Deanna Dean, PN
• Angela Delaria, CRNA
• Ryan Eugene Denney, D.O
• Dental Professionals of Missouri, Richard Straus, D.M.D., P.C.
• Heather R. Derix, PSY.D.
• Dermatology Center, LLC

• Clinical Social Worker in Rolla, MO
• Providers in Rolla, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.