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

Rebecca Nicholson, LCSW

Individual provider Clinical Social Worker · NPI 1902580392

Rebecca Nicholson, LCSW is a Clinical Social Worker in Madisonville, Tennessee. Qualified in 2020, 6 years ago. Licensed in Tennessee.

Years since qualifying
6
Licensed in
TN
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4233 Highway 411
Madisonville, TN 37354-1571
Phone: (423) 884-1950
Fax: (423) 884-1945
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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 9847 (TN)

Record details

NPI number1902580392
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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