Daniel Nichols, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-13749 Issued in AZ

Practice address

8889 E Via Linda
Scottsdale, AZ 85258-5420

Phone

(480) 284-7440

Fax

(480) 284-4178

NPI assigned

Jun 29, 2016

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Scottsdale Providence Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Scottsdale, AZ
  • NPI 1740641612

  Clinical

  NPD Authorized official
• Scottsdale Providence Recovery Center

  dba Scottsdale Providence Residential Center

  • Mental Illness Community Based Residential Treatment Facility
  • Scottsdale, AZ
  • NPI 1821705104
  NPD Authorized official

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1871944942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7597 E WINDROSE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604745",
            "telephone_number": "602-448-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8889 E VIA LINDA",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585420",
            "telephone_number": "480-284-7440",
            "fax_number": "480-284-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "DANIEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-13749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandru Stefan Nica, MD
• Candace Jo Nicholas, NP
• Keanu Nicholas, RBT
• Christopher John Nicholls, PH.D.
• Alexis C Nichols, LAC
• Matthew Charles Nichols, DO
• Heather Nicholson, PA-C
• Nicola Arnott Nicholson, PA
• Sonya Nicholson, CRNA
• Analecia C Nickel, MA,LMFT

• Clinical Social Worker in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.