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

Omar Sharif Nichols Sr.

Individual provider Clinical Social Worker · NPI 1578203766

Omar Sharif Nichols Sr. is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

3506 W Tyvola Rd
Charlotte, NC 28208-7201
Phone: (910) 977-7048
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 P017290 (NC)

Record details

NPI number1578203766
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022

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