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STEPHANIE BLACKETT NICHOLS LCSW
NPI 1053704072
Social Worker - Clinical in Augusta, GA

Active since March 16, 2015PECOS Enrolled
3540 WHEELER RD, SUITE 619, AUGUSTA, GA 30909(706) 733-0333 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Blackett Nichols Lcsw NPPES

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

STEPHANIE BLACKETT NICHOLS LCSW (NPI 1053704072) is an individual clinical provider in Augusta, Georgia, licensed in Georgia (CSW005084) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053704072
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIE BLACKETT NICHOLSCredential: LCSW
Location Address3540 WHEELER RD, SUITE 619Augusta, GA 30909-1871
Mailing Address3540 Wheeler Rd, Suite 619Augusta, GA 30909-1871
Phone(706) 733-0333
Sole ProprietorYes
Enumeration DateMarch 16, 2015
Last NPPES UpdateJune 11, 2015
✔ NPI 1053704072 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 GA · CSW005084
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.
3540 WHEELER RD, Augusta, GA 30909
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Blackett Nichols Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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 $53.31 – $164.04
Typical copayment $0.00 (range $13.32 – $41.01)
Most-billed visit code NA
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 13

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

MS. STEPHANIE D GRANT MS
Counselor (Mental Health)
3540 WHEELER RD, SUITE 619
AUGUSTA, GA 30909
Richmond County (706) 733-0333
CREATING HOPE AND NEEDED CARE FOR EVERYONE, INC
Community/Behavioral Health
3540 WHEELER RD, SUITE 515
AUGUSTA, GA 30909
Richmond County (770) 715-4728
SEAJOY FAMILY SERVICE CENTER
Community/Behavioral Health
3540 WHEELER RD, SUITE 508
AUGUSTA, GA 30909
Richmond County (706) 733-4515
LIFE MANAGEMENT GROUP
Counselor
3540 WHEELER RD, SUITE 619
AUGUSTA, GA 30909
Richmond County (706) 733-0333
YI'S ACUPUNCTURE AND HERB CLINIC
Acupuncturist
3540 WHEELER RD, SUITE 505
AUGUSTA, GA 30909
Richmond County (706) 993-3095
DR. RICHARD K DOVER MD
Pathology (Anatomic Pathology & Clinical Pathology)
3540 WHEELER RD, SUITE 617
AUGUSTA, GA 30909
Richmond County (706) 731-5831
JOSEPH AUGUSTIN MD LLC
Physical Medicine & Rehabilitation (Pain Medicine)
3540 WHEELER RD, SUITE 508
AUGUSTA, GA 30909
Richmond County (504) 975-5274
QUALITY IN HOME CARE, INC.
In Home Supportive Care
3540 WHEELER RD, SUITE 619
AUGUSTA, GA 30909
Richmond County (706) 733-6900

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 Stephanie Nichols's NPI number?

The NPI number for Stephanie Nichols is 1053704072. It was assigned to this individual provider in the NPPES registry on March 16, 2015.

Where is Stephanie Nichols located?

Stephanie Nichols practices at 3540 Wheeler Rd Suite 619, Augusta, GA 30909. The listed phone number is (706) 733-0333.

What is Stephanie Nichols's specialty?

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

Is Stephanie Nichols enrolled in Medicare?

Yes. Stephanie Nichols is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Nichols was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.