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

Q: 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.

Q: What is Donna Nickelberry's specialty?

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

Q: 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 2 months 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.

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: October 25, 2026.

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

On this page

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

Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Donna Jean Green

Other Identifiers 1

Medicaid2119380WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Donna Nickelberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Cities Counseling And Consultation

7.4 mi

Community/Behavioral Health

325 W GOWE ST
Kent, WA 98032

Reassigned Medicare billing, Washington enrollment
125 clinicians in this Medicare group

NPI 1972668853 (206) 408-5382

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 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