Cheryl Lynn Nickell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33719 Issued in TX

Practice address

100 N Edward Gary St Ste 104B
San Marcos, TX 78666-5710

Phone

(512) 256-3835

NPI assigned

Feb 27, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr. Tania Glenn & Associates, P.a.

  • Clinical Social Worker
  • Austin, TX
  • NPI 1619188836
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1801922240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N EDWARD GARY ST STE 104B",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665710",
            "telephone_number": "512-256-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N EDWARD GARY ST STE 104B",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665710",
            "telephone_number": "512-256-3835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Clayton Ln Ste 445E",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787232414",
            "country_code": "US",
            "telephone_number": "512-323-6994 x4",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKELL",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "33719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1591117",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Newman
• Christine Nguyen
• Minh Thu Thi Nguyen, MD
• Cody A Nichols, M.D.
• Michael Lynn Nick, CRNA
• Sye Nobles
• Michael Casey Nonmacher
• Steven Craig Nordwick, CTRS
• Northland Hearing Centers, Inc
• Amanda Noto

• Clinical Social Worker in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.