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MICHAEL NICHOLS LICSW
NPI 1659721355
Social Worker - Clinical in Essex Junction, VT

Active since June 14, 2016
12 KILLORAN DR, ESSEX JUNCTION, VT 05452(802) 399-6041(802) 735-1008 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2022, Jun 14, 2016 (2 updates tracked since 2016).

About Michael Nichols Licsw NPPES

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

MICHAEL NICHOLS LICSW (NPI 1659721355) is an individual clinical provider in Essex Junction, Vermont, licensed in Vermont (089-0104686) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1659721355
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL NICHOLSCredential: LICSW
Location Address12 KILLORAN DREssex Junction, VT 05452-4607
Mailing Address12 Killoran DrEssex Junction, VT 05452-4607 · (802) 399-6041 · Fax (802) 735-1008
Phone(802) 399-6041
Fax(802) 735-1008
Sole ProprietorYes
Enumeration DateJune 14, 2016
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1659721355 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 VT · 089-0104686
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.
12 KILLORAN DR, Essex Junction, VT 05452
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Other Identifiers 1

Medicaid6710533VT

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 Michael Nichols's NPI number?

The NPI number for Michael Nichols is 1659721355. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Michael Nichols located?

Michael Nichols practices at 12 Killoran Dr, Essex Junction, VT 05452. The listed phone number is (802) 399-6041.

What is Michael 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 Michael Nichols was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.