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ELENA SERGEYEVNA NICHOLS LICSW
NPI 1013588490
Social Worker - Clinical in Winooski, VT

Active since July 07, 2021PECOS EnrolledAccepts Medicare Assignment
486 MAIN ST APT A, WINOOSKI, VT 05404(802) 865-3450 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elena Sergeyevna Nichols Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELENA SERGEYEVNA NICHOLS LICSW (NPI 1013588490) is an individual clinical provider in Winooski, Vermont, licensed in Vermont (089.0119566) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1013588490
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELENA SERGEYEVNA NICHOLSCredential: LICSW
Location Address486 MAIN ST APT AWinooski, VT 05404-1338
Mailing Address486 Main St Apt AWinooski, VT 05404-1338 · (802) 865-3450
Phone(802) 865-3450
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 7, 2021
NPPES CertifiedJuly 7, 2021
✔ NPI 1013588490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VT · 089.0119566
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
486 MAIN ST APT A, Winooski, VT 05404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elena Sergeyevna Nichols Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416352273
PECOS Enrollment IDI20210818000196
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
134 services13 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
52 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.80 – $168.48
Typical copayment $0.00 (range $13.95 – $42.12)
Most-billed visit code NA
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN M PATNO LCMHC
Counselor (Mental Health)
486 MAIN ST APT A
WINOOSKI, VT 05404
Chittenden County (802) 989-3061
ALLY BERNSTEIN LICSW
Social Worker (Clinical)
486 MAIN ST APT A
WINOOSKI, VT 05404
Chittenden County (802) 432-8184
JOSHUA SHAMOON LICSW
Social Worker (Clinical)
486 MAIN ST APT A
WINOOSKI, VT 05404
Chittenden County (802) 865-3450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elena Nichols's NPI number?

The NPI number for Elena Nichols is 1013588490. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Elena Nichols located?

Elena Nichols practices at 486 Main St Apt A, Winooski, VT 05404. The listed phone number is (802) 865-3450.

What is Elena Nichols's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Elena Nichols enrolled in Medicare?

Yes. Elena Nichols is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elena Nichols accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Elena Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elena Nichols affiliated with any hospitals?

According to CMS data, Elena Nichols is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Elena Nichols was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.