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KATELYN E NICHOLS MSW, LICSW
NPI 1801389911
Social Worker - Clinical in Golden Valley, MN

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
701 DECATUR AVE N STE 109, GOLDEN VALLEY, MN 55427(763) 746-2400(763) 746-2401 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelyn E Nichols Msw, Licsw NPPES

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

KATELYN E NICHOLS MSW, LICSW (NPI 1801389911) is an individual clinical provider in Golden Valley, Minnesota, licensed in Minnesota (24502) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1801389911
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATELYN E NICHOLSCredential: MSW, LICSW
Location Address701 DECATUR AVE N STE 109Golden Valley, MN 55427-4363
Mailing Address701 Decatur Ave N Ste 109Golden Valley, MN 55427-4363 · (763) 746-2400 · Fax (763) 746-2401
Phone(763) 746-2400
Fax(763) 746-2401
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 13, 2018
✔ NPI 1801389911 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 MN · 24502
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.
701 DECATUR AVE N STE 109, Golden Valley, MN 55427
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelyn E Nichols Msw, Licsw 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.

PECOS PAC ID2769732494
PECOS Enrollment IDI20180830000722
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 55427 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

Other Providers at the Same Location NPPES 14

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

NICOLE MARIE NELSON
Marriage & Family Therapist
701 DECATUR AVE N STE 109
GOLDEN VALLEY, MN 55427
Hennepin County (763) 746-2400
RANDALL LEE MORRIS-OSTROM PSY.D., LP
Psychologist (Clinical)
701 DECATUR AVE N STE 109
GOLDEN VALLEY, MN 55427
Hennepin County (763) 746-2419
ANN TERESA STROM LICSW
Social Worker (Clinical)
701 DECATUR AVE N STE 109
GOLDEN VALLEY, MN 55427
Hennepin County (763) 746-2425
PEGGY ANN THOMAS LICSW
Social Worker (Clinical)
701 DECATUR AVE N STE 109
GOLDEN VALLEY, MN 55427
Hennepin County (763) 746-2400
NERGIS PETERSEN MA, LPCC
Counselor (Professional)
701 DECATUR AVE N STE 109
GOLDEN VALLEY, MN 55427
Hennepin County (763) 746-2400
DR. RYAN DAVID HOVIS PSYD, LP
Psychologist (Clinical)
701 DECATUR AVE N STE 109
GOLDEN VALLEY, MN 55427
Hennepin County (763) 746-2400
KARIN L MULDOWNEY MSW, LICSW, LMFT
Social Worker (Clinical)
701 DECATUR AVE N STE 109
GOLDEN VALLEY, MN 55427
Hennepin County (763) 746-2400
ADVANCED BRAIN AND BODY CLINIC PLLC
Specialist
701 DECATUR AVE N STE 109
GOLDEN VALLEY, MN 55427
Hennepin County (605) 348-8000

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 Katelyn Nichols's NPI number?

The NPI number for Katelyn Nichols is 1801389911. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Katelyn Nichols located?

Katelyn Nichols practices at 701 Decatur Ave N Ste 109, Golden Valley, MN 55427. The listed phone number is (763) 746-2400.

What is Katelyn Nichols's specialty?

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

Is Katelyn Nichols enrolled in Medicare?

Yes. Katelyn Nichols 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.

When was this NPI record last updated?

The NPPES record for Katelyn Nichols was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.