STACEY DAWN WILLIAMSON NICHOLS LMSW
NPI 1508945577
Social Worker in Grand Rapids, MI
About Stacey Dawn Williamson Nichols Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY DAWN WILLIAMSON NICHOLS LMSW (NPI 1508945577) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801088675) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Comstock Park, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacey Dawn Williamson Nichols Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Stacey Williamson Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49505
- Reassigned Medicare billing, Michigan enrollment
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 261 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacey Williamson Nichols's NPI number?
The NPI number for Stacey Williamson Nichols is 1508945577. It was assigned to this individual provider in the NPPES registry on November 2, 2006.
Where is Stacey Williamson Nichols located?
Stacey Williamson Nichols practices at 3001 Fuller Ave NE Ste 1, Grand Rapids, MI 49505. The listed phone number is (616) 426-2328.
What is Stacey Williamson Nichols's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Stacey Williamson Nichols enrolled in Medicare?
Yes. Stacey Williamson Nichols is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Stacey Williamson Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Williamson Nichols reassigns Medicare benefits to 2 organizations: Swn Therapy LLC (Grand Rapids, MI) and Pine Rest Christian Mental Health Services (Grand Rapids, MI). 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 Stacey Williamson Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Williamson Nichols accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Stacey Williamson 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 Stacey Williamson Nichols was last updated on April 11, 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.
# Stacey Dawn Williamson Nichols, LMSW · NPI 1508945577
Social Worker provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since November 2, 2006.
## Identity
- **NPI:** 1508945577 (Entity type: Individual)
- **Enumerated:** November 2, 2006
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 6801088675 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3001 FULLER AVE NE STE 1, Grand Rapids, MI 49505-3204
- **Phone:** (616) 426-2328
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Swn Therapy LLC (NPI 1124665484, Grand Rapids, MI); Pine Rest Christian Mental Health Services (NPI 1922019157, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** April 11, 2024
- **Other identifiers:** Medicaid 1715928 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1508945577) · Data from the CMS NPPES public registry.