Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nichole L Nolan, LICSW, LISW-CP

Individual provider Counselor · NPI 1457790750

Nichole L Nolan, LICSW, LISW-CP is a Clinical Social Worker in Moses Lake, Washington. Qualified in 2017, 9 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in South Carolina and Washington.

Years since qualifying
9
Licensed in
SC, WA
In the registry since
2013
Specialties on file
3
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

726 Penn Ivy St
Moses Lake, WA 98837-2790
Phone: (509) 864-0860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 172 Olde Towne Way Unit 4, Myrtle Beach, SC 29588-1502 — (509) 864-0860

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW.18040CP (SC)
Counselor Taxonomy 101Y00000X
Clinical Social Worker Taxonomy 1041C0700X · Licence LW61470965 (WA)

Record details

NPI number1457790750
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LISW-CP
Sole proprietorYes
NPI enumeratedJune 19, 2013
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Moses Lake