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

Mike Lyle Nicholson, BS

Individual provider Counselor · NPI 1184808701

Mike Lyle Nicholson, BS is a Clinical Social Worker in Bellingham, Washington. Qualified in 2009, 17 years ago. Practices with Peacehealth, a 290-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2007
Specialties on file
3
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

1616 Cornwall Ave Ste 205
Bellingham, WA 98225
Phone: (360) 676-6177
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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 LW60717124 (WA)
Counselor Taxonomy 101Y00000X · Licence LW60717124 (WA)
Social Worker Taxonomy 104100000X · Licence LW60717124 (WA)

Record details

NPI number1184808701
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorYes
NPI enumeratedDecember 18, 2007
Last updated in NPPESAugust 8, 2018
Mailing address1616 Cornwall Ave Ste 205, Bellingham, WA 98225-4642

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Peacehealth — 290 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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