Active NPI
James Edward Nichols, LCSW
- Social Worker
- Stephenville, TX
National Provider Identifier
1891810685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S16948
- Practice address
- 216 West College Street
Stephenville, TX 76401-2015 - Phone
- (254) 968-8460
- NPI assigned
- Mar 20, 2007
- Last updated
- Aug 26, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S16948 | TX | Primary |
Addresses
Primary practice location
216 West College Street
Stephenville, TX 76401-2015
Mailing address
249 S Caddo St
Lipan, TX 76462-2015
Phone (713) 864-0101
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S16948 | TX | MD | Social Worker |
| 16948 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1891810685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 S CADDO ST",
"city": "LIPAN",
"state": "TX",
"postal_code": "764622015",
"telephone_number": "713-864-0101",
"fax_number": "218-367-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 WEST COLLEGE STREET",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764012015",
"telephone_number": "254-968-8460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "JAMES",
"middle_name": "EDWARD",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "S16948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stephenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.