SANDRA EILEEN NICHOLS MSW
NPI 1629252739
Social Worker - Clinical in Moline, IL

Active since December 26, 2007
106 19TH AVE, SUITE 101, MOLINE, IL 61265(309) 779-7600(309) 779-7252 Get Directions Write a Review

NPPES record last updated: June 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra Eileen Nichols Msw NPPES

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

SANDRA EILEEN NICHOLS MSW (NPI 1629252739) is an individual clinical provider in Moline, Illinois, licensed in Illinois (149004883) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1629252739
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDRA EILEEN NICHOLSCredential: MSW
Location Address106 19TH AVE, SUITE 101Moline, IL 61265-3700
Mailing Address106 19th Ave, Suite 101Moline, IL 61265-3700 · (309) 779-7600 · Fax (309) 779-7252
Fax(309) 779-7252
Sole ProprietorYes
Enumeration DateDecember 26, 2007
Last NPPES UpdateJune 15, 2009
NPI 1629252739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in IL · 149004883 Licensed in IA · 05255
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.
106 19TH AVE, Moline, IL 61265

Other Identifiers 1

Medicare PINK49865IL

Other Providers at the Same Location NPPES 19

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

Family Medicine
106 19TH AVE
MOLINE, IL 61265
Pediatrics
106 19TH AVE, STE. 103
MOLINE, IL 61265
Internal Medicine
106 19TH AVE, SUITE 103
MOLINE, IL 61265
Hospice Care, Community Based
106 19TH AVE, SUITE 101
MOLINE, IL 61265
Dentist
106 19TH AVE, SUITE 90
MOLINE, IL 61265
Family Medicine
106 19TH AVE, SUITE 103
MOLINE, IL 61265
Occupational Therapist
106 19TH AVE, SUITE 101
MOLINE, IL 61265
Dentist (General Practice)
106 19TH AVE, SUITE #90
MOLINE, IL 61265

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 Sandra Nichols's NPI number?

The NPI number for Sandra Nichols is 1629252739. It was assigned to this individual provider in the NPPES registry on December 26, 2007.

Where is Sandra Nichols located?

Sandra Nichols practices at 106 19th Ave Suite 101, Moline, IL 61265. The listed phone number is (309) 779-7600.

What is Sandra Nichols's specialty?

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

When was this NPI record last updated?

The NPPES record for Sandra Nichols was last updated on June 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.