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NICOLE NICHOLS LICSW
NPI 1497691968
Social Worker - Clinical in Lakewood, WA

Active since April 27, 2026PECOS Enrolled
9330 59TH AVE SW, LAKEWOOD, WA 98499(253) 620-5004(253) 620-5140 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Nichols Licsw NPPES

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

NICOLE NICHOLS LICSW (NPI 1497691968) is an individual clinical provider in Lakewood, Washington, licensed in Washington (SWI.LW.61673819) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1497691968
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE NICHOLSCredential: LICSW
Location Address9330 59TH AVE SWLakewood, WA 98499-2858
Mailing Address9330 59th Ave SwLakewood, WA 98499-2858 · (253) 620-5004 · Fax (253) 620-5140
Phone(253) 620-5004
Fax(253) 620-5140
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1497691968 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 WA · SWI.LW.61673819
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.
9330 59TH AVE SW, Lakewood, WA 98499
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Nichols Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779055009
PECOS Enrollment IDI20260617002289
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

2

Medicare enrollment records show Nicole Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Greater Lakes Mental Health Foundation Inc
Same address
Community Based Residential Treatment Facility, Mental Illness
9330 59TH AVE SW
Lakewood, WA 98499
  • Reassigned Medicare billing, Washington enrollment
  • 67 clinicians in this Medicare group
NPI 1225039811 (253) 581-7020
Multicare Health System
0.2 mi
Physical Therapist
9514 GRAVELLY LAKE DR SW
Lakewood, WA 98499
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1790298081 (253) 983-9395

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 98499 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

CLAUDIA HOCKETT MA
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5042
MS. TAMMY MARIE STEWART BA
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5833
MS. SABRINA LAVONNE THOMPSON AAS
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5015
EDWARD MBUGUA KARANJA LPN
Licensed Practical Nurse
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5015
ALIDA ROTHGEB
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-7020
ASHLEY PETTIS BS
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5015
TRACEY WILBER BA
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 620-5015
ALAINA ANN BUTLER
Counselor (Mental Health)
9330 59TH AVE SW
LAKEWOOD, WA 98499
Pierce County (253) 581-7020

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 Nicole Nichols's NPI number?

The NPI number for Nicole Nichols is 1497691968. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Nicole Nichols located?

Nicole Nichols practices at 9330 59th Ave SW, Lakewood, WA 98499. The listed phone number is (253) 620-5004.

What is Nicole Nichols's specialty?

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

Is Nicole Nichols enrolled in Medicare?

Yes. Nicole Nichols is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Nichols reassigns Medicare benefits to 2 organizations: Greater Lakes Mental Health Foundation Inc (Lakewood, WA) and Multicare Health System (Lakewood, WA). Each 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 Nicole Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Nichols accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicole Nichols 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 Nicole Nichols was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.