MRS. NICOLE YOUNG NICHOLS M.S.W.
NPI 1518093350
Social Worker - Clinical in Santa Monica, CA

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
1339 20TH ST, SANTA MONICA, CA 90404(310) 829-8405 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Nicole Young Nichols M.s.w. NPPES

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

MRS. NICOLE YOUNG NICHOLS M.S.W. (NPI 1518093350) is an individual clinical provider in Santa Monica, California, licensed in California (ASW17430) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1518093350
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. NICOLE YOUNG NICHOLSCredential: M.S.W.
Location Address1339 20TH STSanta Monica, CA 90404-2033
Mailing Address5627 Kanan RdAgoura Hills, CA 91301-3358 · (818) 584-6033
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 26, 2007
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
NPI 1518093350 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 CA · ASW17430
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.

1339 20TH ST, Santa Monica, CA 90404

Other Names 1

Former Name (1)Miss Nicole Marie Young M.s.w.

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

Mrs. Nicole Young Nichols M.s.w. 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 ID2163865890
PECOS Enrollment IDI20240208003956
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Social Worker (Clinical)
1339 20TH ST
SANTA MONICA, CA 90404
Social Worker (Clinical)
1339 20TH ST
SANTA MONICA, CA 90404
Rehabilitation Practitioner
1339 20TH ST
SANTA MONICA, CA 90404
Rehabilitation Practitioner
1339 20TH ST
SANTA MONICA, CA 90404
Social Worker (Clinical)
1339 20TH ST
SANTA MONICA, CA 90404
Marriage & Family Therapist
1339 20TH ST
SANTA MONICA, CA 90404
Counselor (Mental Health)
1339 20TH ST
SANTA MONICA, CA 90404
Social Worker (Clinical)
1339 20TH ST
SANTA MONICA, CA 90404

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 1518093350. It was assigned to this individual provider in the NPPES registry on February 26, 2007. The provider is also known as Miss Nicole Marie Young M.S.W..

Where is Nicole Nichols located?

Nicole Nichols practices at 1339 20th St, Santa Monica, CA 90404. The listed phone number is (310) 829-8405.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicole Nichols was last updated on April 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.