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

Individual provider Clinical Social Worker · NPI 1659864890

Mrs. Katrina Mary Nichols, LICSW is a Clinical Social Worker in Brewster, Massachusetts. Qualified in 2013, 13 years ago. Licensed in Massachusetts and Rhode Island.

Years since qualifying
13
Licensed in
MA, RI
In the registry since
2018
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

456 Flax Pond Rd
Brewster, MA 02631-2133
Phone: (604) 801-2386
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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 121724 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ISW02639 (RI)

Record details

NPI number1659864890
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 12, 2018
Last updated in NPPESSeptember 13, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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