NICOLE REYNOLDS SMALL MSW, LICSW
NPI 1417072356
Social Worker - Clinical in Mount Vernon, WA

NPI Status: Active since March 20, 2007

Contact Information

1005 S 3RD ST
MOUNT VERNON, WA
ZIP 98273
Phone: (360) 419-3612
Fax: (360) 419-3605

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  • Individual
  • Female
  • Social Worker
  • Clinical

About NICOLE SMALL

This page provides the complete NPI Profile along with additional information for Nicole Small, a provider established in Mount Vernon, Washington with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1417072356 assigned on March 2007. The practitioner's primary taxonomy code is 1041C0700X with license number LW 60064972 (WA). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1417072356
Provider Name
NICOLE REYNOLDS SMALL MSW, LICSW
Gender
Female
Entity Type
Individual
Location Address
1005 S 3RD ST MOUNT VERNON, WA 98273
Location Phone
(360) 419-3612
Location Fax
(360) 419-3605
Mailing Address
1701 30TH ST BELLINGHAM, WA 98225
Mailing Phone
(310) 210-8662
Is Sole Proprietor?
Yes
Enumeration Date
03-20-2007
Last Update Date
01-20-2010
Code Navigator

A clinical social worker like Nicole Small is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
LW 60064972
License State
WA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

RC00058160 (WA)
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

ASW18384 (CA)
31041S0200XBehavioral Health & Social Service Providers

Social Worker
School

PPSC #060034254 (CA)
41041S0200XBehavioral Health & Social Service Providers

Social Worker
School

443673R (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PSIX593OTHER (01)CADMH

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417072356, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 0 + 7 + 4 + 3 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1417072356.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor
1005 S 3RD ST
MOUNT VERNON, WA 98273
Counselor
1005 S 3RD ST
MOUNT VERNON, WA 98273

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417072356, enumerated as an "individual" on March 20, 2007.

The provider is located at 1005 S 3RD ST MOUNT VERNON, WA 98273 and the phone number is (360) 419-3612.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.