MR. BLAKE BAKER NICHOLSON III LCSW
NPI 1891769261
Social Worker - Clinical in Greeley, CO
About Mr. Blake Baker Nicholson Iii Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BLAKE BAKER NICHOLSON III LCSW (NPI 1891769261) is an individual clinical provider in Greeley, Colorado, licensed in Colorado (992906) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1998).
NPPES Registry Identity
Specialties & Licenses
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.
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
Mr. Blake Baker Nicholson Iii 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80631 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREELEY, CO 80631
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 Blake Nicholson's NPI number?
The NPI number for Blake Nicholson is 1891769261. It was assigned to this individual provider in the NPPES registry on February 14, 2006.
Where is Blake Nicholson located?
Blake Nicholson practices at 928 12th St, Greeley, CO 80631. The listed phone number is (970) 336-4910.
What is Blake Nicholson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Blake Nicholson enrolled in Medicare?
Yes. Blake Nicholson 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 Blake Nicholson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
