TIFFANY MARIE NICELY-WILLIAMS LCSW
NPI 1487220398
Social Worker - Clinical in Austin, TX

Q: What is Tiffany Nicely-williams's NPI number?

The NPI number for Tiffany Nicely-williams is 1487220398. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Q: What is Tiffany Nicely-williams's specialty?

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

Active since June 01, 2021PECOS Enrolled

508 DEEP EDDY AVE, AUSTIN, TX 78703(512) 709-0699 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Tiffany Marie Nicely-williams Lcsw NPPES

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

TIFFANY MARIE NICELY-WILLIAMS LCSW (NPI 1487220398) is an individual clinical provider in Austin, Texas, licensed in Texas (65013) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487220398

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTIFFANY MARIE NICELY-WILLIAMSCredential: LCSW

Location Address508 DEEP EDDY AVEAustin, TX 78703-4555

Mailing Address508 Deep Eddy AveAustin, TX 78703-4555

Phone(512) 709-0699

Sole ProprietorNo

Enumeration DateJune 1, 2021

NPPES CertifiedJune 1, 2021

✔ NPI 1487220398 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 TX · 65013

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.

508 DEEP EDDY AVE, Austin, TX 78703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Harbor Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Marie Nicely-williams 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 Tiffany Nicely-williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deep Eddy Psychotherapy Management, LLC

Same address

Counseling

508 DEEP EDDY AVE.
Austin, TX 78703

Reassigned Medicare billing, Texas enrollment
108 clinicians in this Medicare group

NPI 1457740862 (512) 956-6463

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 78703 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 $57.88 – $174.00

Typical copayment $0.00 (range $14.47 – $43.50)

Most-billed visit code NA

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

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.

GLENN RICHARD OLDS JR. PH.D.

Psychologist (Counseling)