SKYLAR JORDAN NICHOLS LCSW
NPI 1093368805
Social Worker - Clinical in Saint Louis, MO

Active since July 20, 2019PECOS EnrolledAccepts Medicare Assignment
1129 MACKLIND AVE, SAINT LOUIS, MO 63110(314) 534-0200 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2026, Jul 20, 2019 (2 updates tracked since 2019).

About Skylar Jordan Nichols Lcsw NPPES

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

SKYLAR JORDAN NICHOLS LCSW (NPI 1093368805) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2022004433) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1093368805
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSKYLAR JORDAN NICHOLSCredential: LCSW
Location Address1129 MACKLIND AVESaint Louis, MO 63110-1440
Mailing Address6202 Arthur AveSaint Louis, MO 63139-2017
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 20, 2019
Last NPPES UpdateMay 25, 20262 updates tracked since enumeration
NPPES CertifiedMay 25, 2026
NPI 1093368805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MO · 2022004433 Licensed in DC · LC200002677 Licensed in IL · 149.024865 Licensed in MA · LICSW125947
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.

1129 MACKLIND AVE, Saint Louis, MO 63110

Accepted 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

Skylar Jordan Nichols Lcsw 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 ID3173995479
PECOS Enrollment IDI20230215001007
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 63110 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 $55.65 – $169.38
Typical copayment $0.00 (range $13.91 – $42.34)
Most-billed visit code NA
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Psychologist (Clinical)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Psychiatry & Neurology (Psychiatry)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Physical Therapist
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Psychologist (Cognitive & Behavioral)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Social Worker (Clinical)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
Social Worker
1129 MACKLIND AVE
SAINT LOUIS, MO 63110

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 Skylar Nichols's NPI number?

The NPI number for Skylar Nichols is 1093368805. It was assigned to this individual provider in the NPPES registry on July 20, 2019.

Where is Skylar Nichols located?

Skylar Nichols practices at 1129 Macklind Ave, Saint Louis, MO 63110. The listed phone number is (314) 534-0200.

What is Skylar Nichols's specialty?

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

Is Skylar Nichols enrolled in Medicare?

Yes. Skylar 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 Skylar Nichols accept?

Health plans from Medica and Oscar Insurance Company list Skylar 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.

When was this NPI record last updated?

The NPPES record for Skylar Nichols was last updated on May 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.