CAROL NICKLES LCSW
NPI 1780138776
Social Worker - Clinical in Madison, WI
About Carol Nickles Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL NICKLES LCSW (NPI 1780138776) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (2843-123) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carol Nickles Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Carol Nickles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53703
- Reassigned Medicare billing, Wisconsin enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, WI 53703
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 Carol Nickles's NPI number?
The NPI number for Carol Nickles is 1780138776. It was assigned to this individual provider in the NPPES registry on August 8, 2016.
Where is Carol Nickles located?
Carol Nickles practices at 401 Wisconsin Ave, Madison, WI 53703. The listed phone number is (608) 256-5115.
What is Carol Nickles's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Carol Nickles enrolled in Medicare?
Yes. Carol Nickles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Carol Nickles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Nickles reassigns Medicare benefits to Moontree Psychotherapy Center LLC (Madison, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Nickles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Nickles accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Carol Nickles 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 Carol Nickles was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Carol Nickles, LCSW · NPI 1780138776
Clinical provider in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since August 8, 2016.
## Identity
- **NPI:** 1780138776 (Entity type: Individual)
- **Enumerated:** August 8, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 2843-123 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 WISCONSIN AVE, Madison, WI 53703-1487
- **Phone:** (608) 256-5115 · **Fax:** (608) 256-5116
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Moontree Psychotherapy Center LLC (NPI 1770806259, Madison, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** August 8, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1780138776) · Data from the CMS NPPES public registry.