Active NPI
Andrew Scott Nichols
- Clinical Social Worker
- Knoxville, IA
National Provider Identifier
1871785808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06436
- Practice address
- 1515 W Pleasant St
Knoxville, IA 50138-3399 - Phone
- (641) 828-6329
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- 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 | 06436 | IA | Primary |
Addresses
Primary practice location
1515 W Pleasant St
Knoxville, IA 50138-3399
Mailing address
1515 West Pleasent St.
Knoxville, IA 50138
Phone (641) 828-6329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1871785808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 WEST PLEASENT ST.",
"city": "KNOXVILLE",
"state": "IA",
"postal_code": "50138",
"telephone_number": "641-828-6329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W PLEASANT ST",
"city": "KNOXVILLE",
"state": "IA",
"postal_code": "501383399",
"telephone_number": "641-828-6329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "ANDREW",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "06436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.