MRS. LELAH JOY NICHOL L.C.S.W
NPI 1598829236
Social Worker - Clinical in San Rafael, CA

Active since December 20, 2006Opted out of Medicare · through Jan 1, 2028
820 LAS GALLINAS AVE, SAN RAFAEL, CA 94903(415) 444-3082 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lelah Joy Nichol L.c.s.w NPPES

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

MRS. LELAH JOY NICHOL L.C.S.W (NPI 1598829236) is an individual clinical provider in San Rafael, California, licensed in California (21664) and active in the NPI registry since December 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1598829236
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LELAH JOY NICHOLCredential: L.C.S.W
Location Address820 LAS GALLINAS AVESan Rafael, CA 94903-3410
Mailing Address820 Las Gallinas AveSan Rafael, CA 94903-3452 · (415) 444-3082
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1598829236 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 · 21664
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.
820 LAS GALLINAS AVE, San Rafael, CA 94903

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Lelah Joy Nichol L.c.s.w has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Psychologist (Clinical)
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Psychologist
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Psychiatry & Neurology (Psychiatry)
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Social Worker (Clinical)
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Psychologist (Clinical)
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Psychologist (Addiction (Substance Use Disorder))
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Psychologist (Clinical)
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Psychologist (Clinical)
820 LAS GALLINAS AVE
SAN RAFAEL, CA 94903

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 Lelah Nichol's NPI number?

The NPI number for Lelah Nichol is 1598829236. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Lelah Nichol located?

Lelah Nichol practices at 820 Las Gallinas Ave, San Rafael, CA 94903. The listed phone number is (415) 444-3082.

What is Lelah Nichol's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lelah Nichol enrolled in Medicare?

No. Lelah Nichol has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lelah Nichol was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.