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

Stacey Dawn Williamson Nichols, LMSW

Individual provider Social Worker · NPI 1508945577

Stacey Dawn Williamson Nichols, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2006, 20 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
20
Licensed in
MI
In the registry since
2006
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

3001 Fuller Ave NE Ste 1
Grand Rapids, MI 49505-3204
Phone: (616) 426-2328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6921 Scott Woods Ct Ne, Comstock Park, MI 49321-9620 — (616) 426-2328

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801088675 (MI)

Record details

NPI number1508945577
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorYes
NPI enumeratedNovember 2, 2006
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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