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

Nicole Nichols, LICSW

Individual provider Clinical Social Worker · NPI 1497691968

Nicole Nichols, LICSW is a Clinical Social Worker in Lakewood, Washington. Qualified in 2022, 4 years ago. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2026
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

9330 59th Ave SW
Lakewood, WA 98499-2858
Phone: (253) 620-5004
Fax: (253) 620-5140
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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 SWI.LW.61673819 (WA)

Record details

NPI number1497691968
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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