Active NPI
Kate Nichols, LCSW
- Clinical Social Worker
- Wethersfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10307
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up Care PC LLC | Current | Accepting new patients | |
| Sunrise Psychological Services LLC | Current | 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.
-
- Counselor
- Danielson, CT
- NPI 1154884740
-
- Psychologist
- Prospect, CT
- NPI 1699199869
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.