STEPHANIE BLACKETT NICHOLS (NPI# 1053704072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053704072 |
| Entity Type | Individual |
| Full Name | STEPHANIE BLACKETT NICHOLS |
| Credential | LCSW |
| Practice Address |
3540 Wheeler Rd Suite 619 Augusta GA 30909-1871 |
| Practice Telephone | 7067330333 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW005084 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772944 | Stephanie Brianna Noelle Nichols | Speech-Language Pathologist | 26 Milford Ln Apt E, Suffern, NY 10901-7944 | 2020-05-19 |
| 1174023451 | Stephanie Nichols | Acupuncturist | 1450 W Guadalupe Rd Ste 115, Gilbert, AZ 85233-3055 | 2018-02-13 |
| 1619041076 | Stephanie Marie Nichols | Dentist | 4259 Robert C. Byrd Dr, Beckley, WV 25801 | 2006-11-20 |
| 1720626724 | Stephanie Renee Nichols | Case Manager/Care Coordinator | 1757 W C St, Torrington, WY 82240-3215 | 2019-12-20 |
| 1821561366 | Stephanie Elizabeth Nichols | Student in an Organized Health Care Education/Training Program | 195 W 7200 S, Midvale, UT 84047-3703 | 2019-01-08 |
| 1134612633 | Stephanie Nichols | Pharmacist | 22 Bramhall St, Portland, ME 04102-3175 | 2018-06-08 |
| 1952768418 | Stephanie Maclean Nichols | Nurse Practitioner | 619 19th St S, Department of Emergency Medicine, Birmingham, AL 35233-1900 | 2016-01-27 |
| 1861820821 | Stephanie Nichols | Speech-Language Pathologist | 300 Sw 7th St, Renton, WA 98057-2307 | 2013-10-29 |
| 1891070546 | Stephanie Nichols | Psychologist | 96 5th Ave, 1k, New York, NY 10011-7605 | 2011-10-13 |
| 1750695649 | Stephanie Marie Nichols | Nurse Practitioner | 770 Jasonway Ave, Suite 1a, Columbus, OH 43214-4333 | 2010-08-03 |
| Street Address |
3540 WHEELER RD SUITE 619 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952486003 | Augusta Pediatric Clinic, PC | Pediatrics | 3540 Wheeler Rd, Suite 302, Augusta, GA 30909-1871 | 2006-10-26 |
| 1487195293 | Quality In Home Care, Inc. | Nursing Care | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2017-03-13 |
| 1194115717 | Creating Hope and Needed Care for Everyone, Inc | Community/Behavioral Health | 3540 Wheeler Rd, Suite 515, Augusta, GA 30909-1871 | 2015-02-03 |
| 1578960456 | Pathology Consultants of Augusta, P.C. | Clinical Medical Laboratory | 3540 Wheeler Rd, Suite 617, Augusta, GA 30909-1871 | 2014-11-20 |
| 1194128017 | Seajoy Family Service Center | Community/Behavioral Health | 3540 Wheeler Rd, Suite 508, Augusta, GA 30909-1871 | 2014-10-06 |
| 1891116448 | Terri Brown | Specialist | 3540 Wheeler Rd, Suite 203, Augusta, GA 30909-1871 | 2013-12-29 |
| 1033474010 | Stephanie D Grant | Counselor | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2012-07-06 |
| 1215291042 | Life Management Group | Counselor | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2012-06-26 |
| 1932465366 | Rachel Leigh Wolfe | Counselor | 3540 Wheeler Rd, Suite 619, Augusta, GA 30909-1871 | 2012-04-10 |
| 1447541446 | Joseph Augustin Md LLC | Physical Medicine & Rehabilitation | 3540 Wheeler Rd, Suite 508, Augusta, GA 30909-1871 | 2011-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| 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 |
|---|---|---|---|---|
| 1043843097 | Jaquay Robinson | Social Worker | 4389 W Maysfield Dr Ste 100, Augusta, GA 30909-9648 | 2020-02-18 |
| 1023640570 | Sara Mae Mcgrane | Social Worker | 1 Va Ctr Unit 63, Augusta, ME 04330-6719 | 2020-02-12 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1003479072 | Edward P Walsh | Social Worker | 1 Va Center Dr, Mhc, Augusta, ME 04239 | 2019-04-16 |
| 1205394160 | Natalie Bryan, Lcsw L.L.C. | Social Worker | 104 Greene St, Augusta, GA 30901-1609 | 2019-03-08 |
| 1669943833 | Meredith E Mccabe | Social Worker | 12 Shuman Ave Ste 8, Augusta, ME 04330-6020 | 2018-12-16 |
| 1629544218 | Rebecca Anne Cornell Du Houx | Social Worker | 96 Albee Rd, Augusta, ME 04330-8530 | 2018-10-22 |
| 1295265569 | Ashley Elizabeth Osborne | Social Worker | 2050 Walton Way Ste 100, Augusta, GA 30904-2305 | 2017-06-19 |
| 1548703630 | Andrew Levine | Social Worker | 1206 Anthony Rd, Augusta, GA 30904-4402 | 2016-11-22 |
| 1790157931 | Vicki Bailey | Social Worker | 322 Indian Trl, Augusta, GA 30907-3796 | 2015-10-27 |
| Find all providers in AUGUSTA | ||||
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| 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.