1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Social Worker
  6. NPI Profile

EDNA CHISM NICHOLAS
NPI 1073933669
Social Worker - Clinical in Fort Worth, TX

Active since April 22, 2014PECOS EnrolledAccepts Medicare Assignment
3309 WINTHROP AVE, 90, FORT WORTH, TX 76116(214) 886-4872 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edna Chism Nicholas NPPES

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

EDNA CHISM NICHOLAS (NPI 1073933669) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (55023) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1073933669
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEDNA CHISM NICHOLAS
Location Address3309 WINTHROP AVE, 90Fort Worth, TX 76116-5614
Mailing Address8628 Paper Birch LnFort Worth, TX 76123-5058
Phone(214) 886-4872
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateApril 22, 2014
Last NPPES UpdateNovember 22, 2024
NPPES CertifiedNovember 22, 2024
✔ NPI 1073933669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 55023
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 12258 (TX)
3309 WINTHROP AVE, Fort Worth, TX 76116
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare and more.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

Edna Chism Nicholas 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 ID4082831391
PECOS Enrollment IDI20140811001691
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 76116 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 $56.47 – $171.07
Typical copayment $0.00 (range $14.11 – $42.76)
Most-billed visit code NA
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 4

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

DR. PAUL MERRELL THOMPSON L.P.C. (D.MIN.)
Counselor (Professional)
3309 WINTHROP AVE, SUITE 100 B
FORT WORTH, TX 76116
Tarrant County (817) 796-5889
B&W ENTERPRISE
Hearing Aid Equipment
3309 WINTHROP AVE, SUITE 69
FORT WORTH, TX 76116
Tarrant County (817) 763-0863
DR. WILLIAM BRADLEY SUMMY PH.D., L.P.C.
Counselor (Professional)
3309 WINTHROP AVE, SUITE 96
FORT WORTH, TX 76116
Tarrant County (817) 737-3888
AUTHENTIC COUNSELING AND COACHING CENTER, LLC
Social Worker (Clinical)
3309 WINTHROP AVE, 100
FORT WORTH, TX 76116
Tarrant County (214) 886-4872

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 Edna Chism Nicholas's NPI number?

The NPI number for Edna Chism Nicholas is 1073933669. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Where is Edna Chism Nicholas located?

Edna Chism Nicholas practices at 3309 Winthrop Ave 90, Fort Worth, TX 76116. The listed phone number is (214) 886-4872.

What is Edna Chism Nicholas's specialty?

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

Is Edna Chism Nicholas enrolled in Medicare?

Yes. Edna Chism Nicholas 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 Edna Chism Nicholas accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare and WellPoint list Edna Chism Nicholas 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.

When was this NPI record last updated?

The NPPES record for Edna Chism Nicholas was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.