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

Lynda Kaye Nickle, LCSW

Individual provider Clinical Social Worker · NPI 1417178906

Lynda Kaye Nickle, LCSW is a Clinical Social Worker in Springfield, Missouri. Qualified in 1990, 36 years ago. Practices with Elite Professional Providers, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
36
Licensed in
MO
In the registry since
2007
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

3322 S Campbell Ave Ste T-1
Springfield, MO 65807-4980
Phone: (417) 220-4480
Fax: (417) 414-0017
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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 002832 (MO)

Record details

NPI number1417178906
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Elite Professional Providers, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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