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

Individual provider Clinical Social Worker · NPI 1093368805

Skylar Jordan Nichols, LCSW is a Clinical Social Worker in Saint Louis, Missouri. Licensed in District of Columbia, Illinois, Massachusetts and Missouri. Registered with an NPI since 2019.

Licensed in
DC, IL, MA, MO
In the registry since
2019
Specialties on file
4
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

1129 Macklind Ave
Saint Louis, MO 63110-1440
Phone: (314) 534-0200
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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 2022004433 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC200002677 (DC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.024865 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence LICSW125947 (MA)

Record details

NPI number1093368805
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 20, 2019
Last updated in NPPESMay 25, 2026
Certification dateMay 25, 2026

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