Kristine Nickel Nickel Gayle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004733 Issued in GA

Practice address

635 Stephenson Ave
Savannah, GA 31405-5970

Phone

(912) 352-2921

Fax

(912) 352-1038

NPI assigned

Jan 3, 2007

Last updated

Dec 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.kristinenickelgayle@143219.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869
  Medicare reassignment Care Compare group NPD
• Psychiatric Consultants

  • Psychiatry Physician
  • Savannah, GA
  • NPI 1043401276
  NPD
• Gene a Brodland LCSW, LLC

  • Community/Behavioral Health Agency
  • Springfield, IL
  • NPI 1528466430
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1952468332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055970",
            "telephone_number": "912-352-2921",
            "fax_number": "912-352-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055970",
            "telephone_number": "912-352-2921",
            "fax_number": "912-352-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKEL GAYLE",
        "first_name": "KRISTINE",
        "middle_name": "NICKEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Geer Nichols, CRNA
• Joanna May Nichols
• Kimberly Ann Nichols, PTA
• Stephanie Nichols, RBT
• Christopher W Nicholson, MD
• Nickes Medical Supply, LLC.
• Merrick Elijah Nicksic, DO
• Giana Nicoara, MD
• Nidesh Consulting LLC
• Alison E Niebanck, MD

• Clinical Social Worker in Savannah, GA
• Providers in Savannah, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.