Active NPI
Terry Jayne Nichols, LCSW
- Social Worker
- Sacramento, CA
National Provider Identifier
1962415505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12025
- Practice address
- 3331 Power Inn Rd Ste 150
Sacramento, CA 95826-3889 - Phone
- (916) 875-0901
- NPI assigned
- Aug 14, 2006
- 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 | 12025 | CA | Primary |
Addresses
Primary practice location
3331 Power Inn Rd Ste 150
Sacramento, CA 95826-3889
Mailing address
7001-A East Parkway, Suite 300
Sacramento County Department of Health and Human Servic
Sacramento, CA 95823
Phone (916) 875-5878
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 |
|---|---|---|---|
| 12025 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1962415505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001-A EAST PARKWAY, SUITE 300",
"address_2": "SACRAMENTO COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVIC",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95823",
"telephone_number": "916-875-5878",
"fax_number": "916-875-6705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3331 POWER INN RD STE 150",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958263889",
"telephone_number": "916-875-0901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "TERRY",
"middle_name": "JAYNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "12025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.