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

Elena Sergeyevna Nichols, LICSW

Individual provider Clinical Social Worker · NPI 1013588490

Elena Sergeyevna Nichols, LICSW is a Clinical Social Worker in Winooski, Vermont. Qualified in 2012, 14 years ago. Practices with University of Vermont Medical Center Inc, a 1,202-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Vermont.

Years since qualifying
14
Licensed in
VT
In the registry since
2021
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

486 Main St Apt A
Winooski, VT 05404-1338
Phone: (802) 865-3450
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089.0119566 (VT)

Record details

NPI number1013588490
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 7, 2021
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Of Vermont Medical Center Inc — 1202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Winooski