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KENNETH R NICHOLS LCSW
NPI 1548707649
Social Worker - Clinical in Farmington, NM

Active since January 26, 2017PECOS Enrolled
1001 W BROADWAY STE D, FARMINGTON, NM 87401(505) 325-0238 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 31, 2020, Apr 16, 2020, Dec 12, 2019 and 3 more (6 updates tracked since 2017).

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

NPI1548707649
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKENNETH R NICHOLSCredential: LCSW
Location Address1001 W BROADWAY STE DFarmington, NM 87401-5638
Mailing Address819 N Watson AveFarmington, NM 87401-9127 · (253) 427-0881
Phone(505) 325-0238
Sole ProprietorNo
Enumeration DateJanuary 26, 2017
Last NPPES UpdateAugust 31, 20206 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
✔ NPI 1548707649 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 NM · C-11080
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.
1001 W BROADWAY STE D, Farmington, NM 87401
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Other Identifiers 2

Medicaid1619475944NM
Medicaid1649724055NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth R Nichols Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

New Patient
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

PRESBYTERIAN MEDICAL SERVICES
Clinical Medical Laboratory
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 326-9157
BETTY LOU GONZALES
Health Educator
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 327-4796
MRS. EVELINA R. JOHN CSW
Case Manager/Care Coordinator
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 326-3566
JESSICA HERNANDEZ
Behavior Analyst
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 325-0238
KAREN A SILVERSMITH CSW
Case Manager/Care Coordinator
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 360-1779
JAN MICHAEL ANTONIO CSW
Case Manager/Care Coordinator
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 592-7553
MR. JAMES WILLIAM ALBIN
Behavior Analyst
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 326-2695
MR. MARK SANCHEZ LADAC,LCDC,ICADC,CAC
Counselor (Addiction (Substance Use Disorder))
1001 W BROADWAY STE D
FARMINGTON, NM 87401
San Juan County (505) 325-0238

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.

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 5 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.