1. Home
  2. Directory
  3. Massachusetts
  4. Brewster
  5. Social Worker
  6. NPI Profile

MRS. KATRINA MARY NICHOLS LICSW
NPI 1659864890
Social Worker - Clinical in Brewster, MA

Active since June 12, 2018PECOS Enrolled
456 FLAX POND RD, BREWSTER, MA 02631(604) 801-2386 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2019, Oct 12, 2018, Jun 12, 2018 (3 updates tracked since 2018).

About Mrs. Katrina Mary Nichols Licsw NPPES

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

MRS. KATRINA MARY NICHOLS LICSW (NPI 1659864890) is an individual clinical provider in Brewster, Massachusetts, licensed in Massachusetts (121724) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1659864890
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KATRINA MARY NICHOLSCredential: LICSW
Location Address456 FLAX POND RDBrewster, MA 02631-2133
Mailing Address237 Old Mill RdMarstons Mills, MA 02648-1054 · (603) 801-2386
Phone(604) 801-2386
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 12, 2018
Last NPPES UpdateSeptember 13, 20193 updates tracked since enumeration
✔ NPI 1659864890 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 MA · 121724✔ Licensed in RI · ISW02639
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.
456 FLAX POND RD, Brewster, MA 02631
Open in Google Maps ↗

Other Names 1

Former Name (1)Katrina Mary Nickerson Licsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Katrina Mary Nichols Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254757354
PECOS Enrollment IDI20200820000271
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 02631 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 $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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

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

DR. PAULA ANNE CARDALEEN PH.D
Counselor (Mental Health)
456 FLAX POND RD
BREWSTER, MA 02631
Barnstable County (508) 896-9700

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 Katrina Nichols's NPI number?

The NPI number for Katrina Nichols is 1659864890. It was assigned to this individual provider in the NPPES registry on June 12, 2018. The provider is also known as Katrina Mary Nickerson Licsw.

Where is Katrina Nichols located?

Katrina Nichols practices at 456 Flax Pond Rd, Brewster, MA 02631. The listed phone number is (604) 801-2386.

What is Katrina Nichols's specialty?

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

Is Katrina Nichols enrolled in Medicare?

Yes. Katrina Nichols is registered in the Medicare PECOS enrollment system.

What insurance does Katrina Nichols accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Katrina Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katrina Nichols was last updated on September 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.