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

Mr. Hal S. Nichols Jr., LSCSW, LCAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770745663

Mr. Hal S. Nichols Jr., LSCSW, LCAC is a Clinical Social Worker in Leawood, Kansas. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Kansas.

Years since qualifying
21
Licensed in
KS
In the registry since
2008
Specialties on file
3

Practice location Address checks out

11100 Ash St Ste 100
Leawood, KS 66211
Phone: (913) 648-6940
Fax: (877) 329-8382
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3793 (KS)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 3793 (KS)
Mental Health Counselor Taxonomy 101YM0800X · Licence 3793 (KS)

Record details

NPI number1770745663
Entity typeIndividual (Type 1)
GenderMale
Credentials LSCSW , LCAC
Sole proprietorYes
NPI enumeratedJuly 1, 2008
Last updated in NPPESDecember 10, 2019
Certification dateDecember 10, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Leawood