KAITLYN E NICHOLSON LCSW
NPI 1396331229
Social Worker - Clinical in Mechanicsville, VA

Q: What is Kaitlyn Nicholson's NPI number?

The NPI number for Kaitlyn Nicholson is 1396331229. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Q: What is Kaitlyn Nicholson'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 Kaitlyn Nicholson was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 15, 2020PECOS Enrolled

9202 CENTER OAK CT, MECHANICSVILLE, VA 23116(804) 207-6737 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kaitlyn E Nicholson Lcsw NPPES

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

KAITLYN E NICHOLSON LCSW (NPI 1396331229) is an individual clinical provider in Mechanicsville, Virginia, licensed in Virginia (0904016773) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kings Park.

NPPES Registry Identity

NPI1396331229

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKAITLYN E NICHOLSONCredential: LCSW

Location Address9202 CENTER OAK CTMechanicsville, VA 23116-2744

Mailing Address71 Maple RdKings Park, NY 11754-3127 · (347) 723-8761

Phone(804) 207-6737

Sole ProprietorNo

Enumeration DateDecember 15, 2020

Last NPPES UpdateAugust 26, 2024

NPPES CertifiedAugust 26, 2024

✔ NPI 1396331229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VA · 0904016773

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 35145 (NY)

Also ListedSocial WorkerTaxonomy 104100000X · License 107673 (NY)

9202 CENTER OAK CT, Mechanicsville, VA 23116

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Secondary Practice Location 1

Location 171 Maple RdKings Park, NY 11754-3127 · Phone (347) 723-8761

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn E Nicholson 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 Reassignments

Medicare enrollment records show Kaitlyn Nicholson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Commonwealth Counseling Associates Inc

Same address

Clinical

9202 CENTER OAK CT
Mechanicsville, VA 23116

Reassigned Medicare billing, Virginia enrollment
239 clinicians in this Medicare group

NPI 1851345805 (804) 207-6737

Sun River Health Inc

289 mi

Adult Day Care

1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452

Reassigned Medicare billing, New York enrollment
683 clinicians in this Medicare group

NPI 1740763275 (855) 681-8700

Jennifer Ufko, Lcsw, PLLC

314 mi

Clinical

111 SMITHTOWN BYP STE 207
Hauppauge, NY 11788

Reassigned Medicare billing, New York enrollment
7 clinicians in this Medicare group

NPI 1629471552 (631) 374-5815

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 23116 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 $56.19 – $170.30

Typical copayment $0.00 (range $14.04 – $42.57)

Most-billed visit code NA

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

MRS. MAVIS N TAH SAMA HHA, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)