DIANNE NICHOLS LCSW
NPI 1144069931
Social Worker - Clinical in Idaho Falls, ID

Q: What is Dianne Nichols's NPI number?

The NPI number for Dianne Nichols is 1144069931. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Q: What is Dianne Nichols's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dianne Nichols was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 21, 2024PECOS Enrolled

2265 W BROADWAY ST, IDAHO FALLS, ID 83402(208) 524-7400 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dianne Nichols Lcsw NPPES

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

DIANNE NICHOLS LCSW (NPI 1144069931) is an individual clinical provider in Idaho Falls, Idaho, licensed in Idaho (8421029) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1144069931

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDIANNE NICHOLSCredential: LCSW

Location Address2265 W BROADWAY STIdaho Falls, ID 83402-2996

Mailing Address2265 W Broadway StIdaho Falls, ID 83402-2996 · (208) 524-7400 · Fax (208) 524-8004

Phone(208) 524-7400

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 21, 2024

Last NPPES UpdateJuly 21, 2026

NPPES CertifiedJuly 21, 2026

✔ NPI 1144069931 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 ID · 8421029

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 ListedSocial WorkerTaxonomy 104100000X · License 45194 (ID)

2265 W BROADWAY ST, Idaho Falls, ID 83402

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID345707501

PECOS Enrollment IDI20260806004094

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.

Medicare Billing Reassignment

Medicare enrollment records show Dianne Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tueller Counseling Inc

Same address

Mental Health (Including Community Mental Health Center)

2265 W BROADWAY ST
Idaho Falls, ID 83402

Reassigned Medicare billing, Idaho enrollment
23 clinicians in this Medicare group

NPI 1477766905 (208) 524-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83402 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 $52.44 – $160.17

Typical copayment $0.00 (range $13.11 – $40.04)

Most-billed visit code NA

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

CAITLIN ELIZABETH TUTTLE

Community Health Worker