Active NPI
Emily Nichols, LSW
- Social Worker
- Mansfield, PA
National Provider Identifier
1952811523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW134767
- Practice address
- 1550 S Main St Ste 2
Mansfield, PA 16933-9586 - Phone
- (570) 662-7954
- Fax
- (570) 662-7753
- NPI assigned
- Oct 9, 2017
- Last updated
- Mar 17, 2018
- 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 | SW134767 | PA | Primary |
Addresses
Primary practice location
1550 S Main St Ste 2
Mansfield, PA 16933-9586
Mailing address
24727 Route 6 Ste 2
Towanda, PA 18848-8257
Phone (570) 265-0100
Other practice location 1
24727 Route 6 Ste 2
Towanda, PA 18848-8257
Phone (570) 265-0100
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 |
|---|---|---|---|
| SW134767 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1952811523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24727 ROUTE 6 STE 2",
"city": "TOWANDA",
"state": "PA",
"postal_code": "188488257",
"telephone_number": "570-265-0100",
"fax_number": "570-265-6741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 S MAIN ST STE 2",
"city": "MANSFIELD",
"state": "PA",
"postal_code": "169339586",
"telephone_number": "570-662-7954",
"fax_number": "570-662-7753"
}
],
"practiceLocations": [
{
"address_1": "24727 Route 6 Ste 2",
"address_purpose": "LOCATION",
"city": "Towanda",
"state": "PA",
"postal_code": "188488257",
"country_code": "US",
"telephone_number": "570-265-0100",
"fax_number": "570-265-6741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLS",
"first_name": "EMILY",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW134767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, PA
- Jennifer A McTish, PHARM D
- Meadowlark Counseling Services, LLC
- Jolene Meisner, LCSW
- Kristina E. Mielke, LCSW
- Matthew Moran
- North Penn Comprehensive Health Services (Laurel Behavioral Health Outpatient)
- North Penn Comprehensive Health Services (Laurel Health Specialty Center)
- North Penn Comprehensive Health Services (Laurel Health & Wellness Center)
- North Penn Comprehensive Health Services (Mansfield Laurel Health Center)
- Northern Tier Counseling Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.