Nicole Vergeldedios, LMSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801117596 Issued in MI

Practice address

618 Taylor St
Chelsea, MI 48118-1248

Phone

(937) 935-5208

NPI assigned

Jun 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Nicole Vargo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1871854109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 TAYLOR ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181248",
            "telephone_number": "937-935-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 TAYLOR ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181248",
            "telephone_number": "937-935-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGELDEDIOS",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1502332",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1473276",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "VARGO",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Tuttle
• United Methodist Retirement Communities, Inc.
• United Methodist Retirement Communities, Inc.
• Howard R Usitalo, M.D.
• Shea Barbara Vanvuuren, PHARM. D.
• Elise Catherine Vickers, PA-C
• Julia Villarreal
• Vincent R. Elie MD, PLC
• Jennifer Vogel, CPHT
• Susan Ruth Vredeveld, OTR

• Clinical Social Worker in Chelsea, MI
• Providers in Chelsea, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.