Patti O. Nichols

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1340 Issued in NH

Legal business name

PATTI O. NICHOLS

Practice address

201 Riverway PL
Bedford Commons
Bedford, NH 03110-6763

Phone

(603) 494-0682

NPI assigned

Oct 6, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Patti O Nichols, LICSWNPI 1366574238

Title

Therapist

Phone

(603) 494-0682

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patti Nichols, MSW, LICSW

  • Clinical Social Worker
  • Concord, NH
  • NPI 1366574238
  NPD (past) Authorized official

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1841693801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HAMPSHIRE HILLS DR",
            "city": "BOW",
            "state": "NH",
            "postal_code": "033044919",
            "telephone_number": "603-494-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIVERWAY PL",
            "address_2": "BEDFORD COMMONS",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106763",
            "telephone_number": "603-494-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTI O. NICHOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "603-494-0682",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley S Paras, MD
• Rachel Parker, PT, DPT, ATC
• Kaelyn Sierra Patch
• Jayakumar Patil, M.D.
• Patriot Physical Therapy, PLLC
• Paul E Noury OD PA
• Caitlyn Amber Paulson
• Lynn A Paulus, PSY D
• Samantha R Pawlowski, M.D.
• Payne Psychiatric Services, PLLC

• Clinical Social Worker in Bedford, NH
• Providers in Bedford, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.