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

Mary Rose Nichols, LCSW, CADCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1477572188

Mary Rose Nichols, LCSW, CADCIII is an Addiction (Substance Use Disorder) Counselor in Enterprise, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
2
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

207 SW 1st St
Enterprise, OR 97828-1203
Phone: (541) 426-4524
Fax: (541) 426-3035
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence L1978 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence L1978 (OR)

Record details

NPI number1477572188
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CADCIII
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESFebruary 7, 2008

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