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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DONNA JEAN NICKELBERRY LICSW
NPI 1902266612
Social Worker - Clinical in Renton, WA

Active since February 24, 2016PECOS Enrolled
221 WELLS AVE S, RENTON, WA 98057(253) 833-7444(253) 661-8631 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 20, 2026, Feb 24, 2016 (2 updates tracked since 2016).

About Donna Jean Nickelberry Licsw NPPES

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

DONNA JEAN NICKELBERRY LICSW (NPI 1902266612) is an individual clinical provider in Renton, Washington, licensed in Washington (SWI.LW.00009403) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902266612
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDONNA JEAN NICKELBERRYCredential: LICSW
Location Address221 WELLS AVE SRenton, WA 98057-2161
Mailing Address325 W Gowe StKent, WA 98032-5892 · (253) 833-7444 · Fax (253) 661-8631
Phone(253) 833-7444
Fax(253) 661-8631
Sole ProprietorYes
Enumeration DateFebruary 24, 2016
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1902266612 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 WA · SWI.LW.00009403
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.
221 WELLS AVE S, Renton, WA 98057
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Other Names 1

Former Name (1)Miss Donna Jean Green

Other Identifiers 1

Medicaid2119380WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donna Jean Nickelberry Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 98057 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 $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 20

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

FRANCESCA MYHRVOLD
Counselor
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
JANE NWANKWOOKOYE ARNP, RN
Nurse Practitioner (Psychiatric/Mental Health)
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
HANNAH KRAJNIK
Counselor
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
SUNDUS DIRIE
Social Worker (Clinical)
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
ERIKA WAITING
Counselor (Mental Health)
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
ARICA KINCHELOE
Case Manager/Care Coordinator
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
SILLVANNA ABDU
Counselor
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
RYAN CHURCHWARD
Counselor
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444

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 Donna Nickelberry's NPI number?

The NPI number for Donna Nickelberry is 1902266612. It was assigned to this individual provider in the NPPES registry on February 24, 2016. The provider is also known as Miss Donna Jean Green.

Where is Donna Nickelberry located?

Donna Nickelberry practices at 221 Wells Ave S, Renton, WA 98057. The listed phone number is (253) 833-7444.

What is Donna Nickelberry's specialty?

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

Is Donna Nickelberry enrolled in Medicare?

Yes. Donna Nickelberry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donna Nickelberry was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.