KENNETH R NICHOLS LCSW
NPI 1548707649
Social Worker - Clinical in Farmington, NM
About Kenneth R Nichols Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH R NICHOLS LCSW (NPI 1548707649) is an individual clinical provider in Farmington, New Mexico, licensed in New Mexico (C-11080) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth R Nichols Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Espanola, NM 87532
- Reassigned Medicare billing, New Mexico enrollment
- 322 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FARMINGTON, NM 87401
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 Kenneth Nichols's NPI number?
The NPI number for Kenneth Nichols is 1548707649. It was assigned to this individual provider in the NPPES registry on January 26, 2017.
Where is Kenneth Nichols located?
Kenneth Nichols practices at 1001 W Broadway Ste D, Farmington, NM 87401. The listed phone number is (505) 325-0238.
What is Kenneth Nichols's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kenneth Nichols enrolled in Medicare?
Yes. Kenneth Nichols is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kenneth Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Nichols reassigns Medicare benefits to Presbyterian Medical Services (Espanola, NM). The 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 Kenneth Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Nichols was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kenneth R Nichols, LCSW · NPI 1548707649
Clinical provider in Farmington, New Mexico. Individual provider, active in the CMS NPPES registry since January 26, 2017.
## Identity
- **NPI:** 1548707649 (Entity type: Individual)
- **Enumerated:** January 26, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C-11080 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 W BROADWAY STE D, Farmington, NM 87401-5638
- **Phone:** (505) 325-0238
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Presbyterian Medical Services (NPI 1306175922, Espanola, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2020
- **Other identifiers:** Medicaid 1619475944 (NM); Medicaid 1649724055 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1548707649) · Data from the CMS NPPES public registry.