Active NPI
Olivia Danielle Nichols, LSW
- Social Worker
- Denver, CO
National Provider Identifier
1902649882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW.0009925464
- Practice address
- 1720 S Bellaire St Ste 909
Denver, CO 80222-4333 - Phone
- (303) 476-1974
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- 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 | LSW.0009925464 | CO | Primary |
Addresses
Primary practice location
1720 S Bellaire St Ste 909
Denver, CO 80222-4333
Mailing address
5996 E 64TH Ave # 80022
Commerce City, CO 80022-3317
Phone (720) 792-0791
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW.0009925464 | CO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanare PSR PLLC | Current | Accepting new patients | |
| Sanare PSR PLLC | Past | Accepting new patients |
Locations
1720 S Bellaire St
Ste 909
Denver, CO 80222
Phone (303) 250-4454
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Denver, CO
- NPI 1912577867
-
- Community/Behavioral Health Agency
- Denver, CO
- NPI 1518893965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1902649882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5996 E 64TH AVE # 80022",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800223317",
"telephone_number": "720-792-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S BELLAIRE ST STE 909",
"city": "DENVER",
"state": "CO",
"postal_code": "802224333",
"telephone_number": "303-476-1974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "OLIVIA",
"middle_name": "DANIELLE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "LSW.0009925464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.