Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Audrie M Nicholson, LCSW

Individual provider Clinical Social Worker · NPI 1730763087

Audrie M Nicholson, LCSW is a Clinical Social Worker in Carthage, Tennessee. Qualified in 2018, 8 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
8
Licensed in
TN
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1314 Main St N
Carthage, TN 37030-1054
Phone: (615) 594-5490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 192 Grant Hwy, Gordonsville, TN 38563-4550 — (615) 594-5490

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LSW0000008505 (TN)

Record details

NPI number1730763087
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 11, 2021
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare