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

Katelyn E Nichols, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1801389911

Katelyn E Nichols, MSW, LICSW is a Clinical Social Worker in Golden Valley, Minnesota. Qualified in 2015, 11 years ago. Practices with Fairview Specialty Services, a 304-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2018
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

701 Decatur Ave N Ste 109
Golden Valley, MN 55427-4363
Phone: (763) 746-2400
Fax: (763) 746-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 24502 (MN)

Record details

NPI number1801389911
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedJune 13, 2018
Last updated in NPPESJune 13, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fairview Specialty Services — 304 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Golden Valley