Diana Nicholson-Nelson, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6679 Issued in OR

Practice address

1015 3Rd St NW
Salem, OR 97304-4007

Phone

(503) 588-3600

NPI assigned

Sep 13, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Willamette Valley Hospice Inc

  • Community Based Hospice Care Agency
  • Salem, OR
  • NPI 1093715070
  NPD (past)

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1972086056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 3RD ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044007",
            "telephone_number": "503-588-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 3RD ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044007",
            "telephone_number": "503-588-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON-NELSON",
        "first_name": "DIANA",
        "credential": "LCSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "6679",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "6679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Nichols
• Katelyn Nichols
• Nicole Marie Nichols
• Stefani Kristine Nichols, LCSW
• Tori Nichols
• Gilbert Earl Nicholson-Nelson, M.S.W., L.C.S.W.
• Jacob Nicholson, N.P.
• Jennifer M Nickell, FNP
• Dulce Rosario Nicolas
• Emma Nicolli, PA-C

• Clinical Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.