Individual provider Active NPI

Kate Nichols, LCSW

  • Clinical Social Worker
  • Wethersfield, CT
National Provider Identifier
1801350079
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10307 Issued in CT
Practice address
1077 Silas Deane Hwy # 103
Wethersfield, CT 06109-4229
Phone
(860) 578-8135
NPI assigned
Jan 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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 10307 CT Primary

Addresses

Primary practice location

1077 Silas Deane Hwy # 103
Wethersfield, CT 06109-4229

Mailing address

1077 Silas Deane Hwy # 103
Wethersfield, CT 06109-4229
Phone (860) 578-8135

Other practice location 1

30 Round Hill Rd
Wethersfield, CT 06109-2519
Phone (860) 578-8135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20190214000547 CT Practitioner - Clinical Social Worker 4082952205 Reassigns benefits to 2 organizations
Practice locations: Wethersfield, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1077 Silas Deane Hwy
Suite 103
Wethersfield, CT 06109-4229
Phone (860) 578-8135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Apr 22, 2019 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Jan 10, 2019 Accepting new patients

Locations

355 Park Ave
Bloomfield, CT 06002
Phone (860) 242-8595

245 Orange Ave
Milford, CT 06461
Phone (203) 876-5123

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

60 West St
Rocky Hill, CT 06067
Phone (860) 529-0880

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1801350079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 SILAS DEANE HWY # 103",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094229",
            "telephone_number": "860-578-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 SILAS DEANE HWY # 103",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094229",
            "telephone_number": "860-578-8135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 ROUND HILL RD",
            "address_purpose": "LOCATION",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092519",
            "country_code": "US",
            "telephone_number": "860-578-8135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "KATE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.