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: August 09, 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
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

Other Identifiers 1

Medicaid004237352CT

Medicare Participation & PECOS CMS

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

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.

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.

Social Worker (Clinical)
300 CHURCH ST STE 105
WALLINGFORD, CT 06492
Counselor (Mental Health)
300 CHURCH ST STE 105
WALLINGFORD, CT 06492
Counselor (Professional)
300 CHURCH ST STE 105
WALLINGFORD, CT 06492
Counselor
300 CHURCH ST STE 105
YALESVILLE, CT 06492
Social Worker (Clinical)
300 CHURCH ST STE 105
YALESVILLE, CT 06492
Social Worker
300 CHURCH ST STE 105
WALLINGFORD, CT 06492
Counselor (Professional)
300 CHURCH ST STE 105
YALESVILLE, CT 06492
Social Worker (Clinical)
300 CHURCH ST STE 105
WALLINGFORD, CT 06492

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.

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.