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MS. MARY KATHRYN NICOLL LCSW
NPI 1376664722
Social Worker - Clinical in Yalesville, CT

Active since April 03, 2007PECOS Enrolled
300 CHURCH ST STE 105, YALESVILLE, CT 06492(203) 679-0849 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Mary Kathryn Nicoll Lcsw NPPES

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

MS. MARY KATHRYN NICOLL LCSW (NPI 1376664722) is an individual clinical provider in Yalesville, Connecticut, licensed in Connecticut (002617) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376664722
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY KATHRYN NICOLLCredential: LCSW
Location Address300 CHURCH ST STE 105Yalesville, CT 06492-2253
Mailing Address315 N Brooksvale RdCheshire, CT 06410-3336 · (203) 272-8486
Phone(203) 679-0849
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateMay 10, 2012
✔ NPI 1376664722 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 CT · 002617
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.
300 CHURCH ST STE 105, Yalesville, CT 06492
Open in Google Maps ↗

Other Identifiers 1

Medicaid004237352CT

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Kathryn Nicoll 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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Kathryn Nicoll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Soul Friends, Inc
0.1 mi
Community/Behavioral Health
300 CHURCH ST, SUITE 105
Wallingford, CT 06492
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1154499804 (203) 679-0849

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 06492 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 9

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

AMANDA PAPA LCSW
Social Worker (Clinical)
300 CHURCH ST STE 105
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-0849
ANN MAJURE LCSW
Counselor (Mental Health)
300 CHURCH ST STE 105
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-0849
TODD DEWOLF LPC
Counselor (Professional)
300 CHURCH ST STE 105
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-0849
JESSICA E RAY LPC
Counselor
300 CHURCH ST STE 105
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 419-6905
ALICIA THIEDE LCSW
Social Worker (Clinical)
300 CHURCH ST STE 105
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 679-0849
JODI MILARDO MSW
Social Worker
300 CHURCH ST STE 105
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-0849
ALLISON MARIE MICHAUD
Counselor (Professional)
300 CHURCH ST STE 105
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 679-0849
ARIANA DELEON-DANIELS LCSW
Social Worker (Clinical)
300 CHURCH ST STE 105
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-0849

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 Mary Kathryn Nicoll's NPI number?

The NPI number for Mary Kathryn Nicoll is 1376664722. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Mary Kathryn Nicoll located?

Mary Kathryn Nicoll practices at 300 Church St Ste 105, Yalesville, CT 06492. The listed phone number is (203) 679-0849.

What is Mary Kathryn Nicoll's specialty?

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

Is Mary Kathryn Nicoll enrolled in Medicare?

Yes. Mary Kathryn Nicoll is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Kathryn Nicoll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kathryn Nicoll reassigns Medicare benefits to Soul Friends, Inc (Wallingford, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Kathryn Nicoll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Kathryn Nicoll accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary Kathryn Nicoll 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 Mary Kathryn Nicoll was last updated on May 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.