STACEY DAWN WILLIAMSON NICHOLS LMSW
NPI 1508945577
Social Worker in Grand Rapids, MI

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
3001 FULLER AVE NE STE 1, GRAND RAPIDS, MI 49505(616) 426-2328 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2024, Apr 19, 2020 (2 updates tracked since 2020).

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

NPI1508945577
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSTACEY DAWN WILLIAMSON NICHOLSCredential: LMSW
Location Address3001 FULLER AVE NE STE 1Grand Rapids, MI 49505-3204
Mailing AddressPo Box 10Mason, MI 48854-0010 · (517) 676-9788 · Fax (517) 676-3438
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 2, 2006
Last NPPES UpdateApril 11, 20242 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
NPI 1508945577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in MI · 6801088675
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
3001 FULLER AVE NE STE 1, Grand Rapids, MI 49505

Secondary Practice Location 1

Location 16921 Scott Woods Ct NEComstock Park, MI 49321-9620 · Phone (616) 426-2328

Other Identifiers 1

Medicaid1715928MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7214089119
PECOS Enrollment IDI20090723000017
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
3001 FULLER AVE NE STE 1
GRAND RAPIDS, MI 49505

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.

What insurance does Stacey Williamson Nichols accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health 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.