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

Individual provider Social Worker · NPI 1790842086

Bruce Michael Nichols, MA, LICSW is a Social Worker in Golden Valley, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1405 Lilac Dr N Ste 150
Golden Valley, MN 55422-4535
Phone: (763) 544-8194
Fax: (763) 544-4413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 13201 (MN)

Record details

NPI number1790842086
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LICSW
Sole proprietorYes
NPI enumeratedJanuary 3, 2007
Last updated in NPPESJuly 8, 2007

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