REBECCA A NICHOLS (NPI# 1013985597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013985597 |
| Entity Type | Individual |
| Full Name | REBECCA A NICHOLS |
| Credential | LCSW |
| Practice Address |
210 Simmons St Maryville TN 37801 |
| Mailing Address |
210 Simmons St Maryville TN 37801-4750 |
| Practice Telephone | 8659709800 |
| Practice Fax Number | 8659834518 |
| Mailing Telephone | 8659709800 |
| Mailing Fax Number | 8659834518 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4224 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3927817 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Center Park Dr Ste 1003, Knoxville, TN 379222125 | 8659248681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750768347 | Rebecca Nichols | Registered Nurse | 6659 Mardel Ave, Saint Louis, MO 63109-1227 | 2015-05-03 |
| 1124337951 | Rebecca Nichols | Counselor | 11713 M Cir, Omaha, NE 68137-2218 | 2010-09-28 |
| 1295372944 | Rebecca Nichols | Speech-Language Pathologist | 1432 E Lee Hwy, Loudon, TN 37774-6440 | 2019-12-02 |
| 1356842058 | Rebecca Nichols | Occupational Therapist | 1595 S Calumet Rd, Chesterton, IN 46304-2388 | 2018-02-27 |
| 1780134973 | Rebecca K Nichols | Social Worker | 1904 Se Division St, Portland, OR 97202-1146 | 2016-10-11 |
| 1831507003 | Rebecca Nichols | Home Health Aide | 146 W Main St, Alliance, OH 44601-2309 | 2014-07-31 |
| 1215360334 | Rebecca Nichols | Counselor | 180 N Michigan Ave, Suite 410, Chicago, IL 60601-7401 | 2013-08-12 |
| 1376816892 | Rebecca Lynn Nichols | Community Health Worker | 712 Ocean Cape Road, Yakutat, AK 99689-0112 | 2012-02-14 |
| 1871878496 | Rebecca Nichols | Specialist | 800 Center St, Auburn, ME 04210-6404 | 2011-10-14 |
| 1972532315 | Rebecca Duffy Nichols | Optometrist | 7504 Antioch Rd, Overland Park, KS 66204-2622 | 2006-06-30 |
| Street Address |
210 SIMMONS ST |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316945504 | Kevin Scott Corum | Social Worker | 210 Simmons St, Maryville, TN 37801-4750 | 2005-07-12 |
| 1619500592 | Tyann Elizabeth Herman | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2020-02-19 |
| 1336615699 | Mandee Lynn Carroll | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2018-10-15 |
| 1568943199 | Justinas Joksas | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2018-08-22 |
| 1447751854 | Holly Williams | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2018-02-22 |
| 1023548971 | James Robert Daniel | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2017-06-14 |
| 1063881514 | Gladys Farmer | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2015-09-15 |
| 1558759910 | Hollie Wilder | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2015-01-07 |
| 1386085116 | Marcey Ramos | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2013-07-09 |
| 1700227535 | Tracy Kizer | Counselor | 210 Simmons St, Maryville, TN 37801-4750 | 2013-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134732696 | Anna Lynn Gallo | Social Worker | 702 Grandview Dr, Maryville, TN 37803-5306 | 2020-08-25 |
| 1861851875 | Amy Haerr | Social Worker | 2135 N Center St, Maryville, IL 62062-2025 | 2016-02-18 |
| 1356737787 | Bethany Minser Love | Social Worker | 4527 Gribble Rd, Maryville, TN 37803-1827 | 2015-04-13 |
| 1457796765 | Brandi Garlich | Social Worker | 3 Oak Dr Ste B, Maryville, IL 62062-5635 | 2013-05-01 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1972873289 | Sarah Buchanan | Social Worker | 309 N Houston St, Maryville, TN 37801-4733 | 2012-01-03 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1285871160 | Christine Marie Jacobson | Social Worker | 106 W Edwards St, Maryville, MO 64468-2419 | 2009-01-14 |
| 1760644231 | Sabrina Lepkofker | Social Worker | 113 S Maple St, Maryville, TN 37803-5766 | 2008-06-26 |
| 1033302674 | Shannon W Brown | Social Worker | 547 W. Lamar Alexander Parkway, Maryville, TN 37801-4760 | 2007-08-27 |
| Find all providers in MARYVILLE | ||||
Please comment or provide details below to improve the information on REBECCA A NICHOLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.