Cam Tu Nichols, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082656 Issued in NY

Practice address

29 E Cayuga St
Oswego, NY 13126-1241

Phone

(315) 326-4100

Fax

(315) 326-4229

NPI assigned

Feb 15, 2018

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beyond Words Healing Services LLC

  • Community/Behavioral Health Agency
  • Fulton, NY
  • NPI 1881354959
  Medicare reassignment NPD Authorized official
• Oswego Hospital

  • Institutional Pharmacy
  • Oswego, NY
  • NPI 1780629907
  NPD (past)

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1811497936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W 1ST ST S",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692231",
            "telephone_number": "315-720-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E CAYUGA ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261241",
            "telephone_number": "315-326-4100",
            "fax_number": "315-326-4229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 W 1st St S",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "NY",
            "postal_code": "130692231",
            "country_code": "US",
            "telephone_number": "315-720-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "CAM TU",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Day Rising Cny, LLC
• New Spirit Licensed Clinical Social Work, PLLC
• Joan Newell, M.D.
• Otis Newson, COTA
• Linda Nicholas, LMSW
• Jennifer L Nichols, F.N.P-C
• Ashleigh Nicolini
• Melissa Nicolini
• Joseph William Nimeh, MD
• Rayees Nizam, MD

• Clinical Social Worker in Oswego, NY
• Providers in Oswego, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.