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

Kenneth R Nichols, LCSW

Individual provider Clinical Social Worker · NPI 1548707649

Kenneth R Nichols, LCSW is a Clinical Social Worker in Farmington, New Mexico. Licensed in New Mexico. Registered with an NPI since 2017.

Licensed in
NM
In the registry since
2017
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

1001 W Broadway Ste D
Farmington, NM 87401-5638
Phone: (505) 325-0238
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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 C-11080 (NM)

Record details

NPI number1548707649
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 26, 2017
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020

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