Michael Nichols, LICSW in Essex Junction, VT - Medicare Social Worker Provider

Michael Nichols, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Essex Junction, Vermont. His current practice location is 12 Killoran Dr, Essex Junction, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 399-6041.

Michael Nichols is licensed to practice in Vermont (license number 089-0104686) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659721355.

Contact Information

	Michael Nichols, LICSW
	12 Killoran Dr, Essex Junction, VT 05452-4607
	(802) 399-6041
	(802) 735-1008

Healthcare Provider's Profile

Full Name	Michael Nichols
Gender	Male
Speciality	Social Worker - Clinical
Location	12 Killoran Dr, Essex Junction, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659721355
Provider Enumeration Date: 06/14/2016
Last Update Date: 08/02/2022

Medicare PECOS Information:

PECOS PAC ID: 0749573954
Enrollment ID: I20160726001941

Medical Identifiers

Medical identifiers for Michael Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659721355	NPI	-	NPPES
6710533	Medicaid	VT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	089-0104686 (Vermont)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Nichols is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Michael Nichols, LICSW 12 Killoran Dr, Essex Junction, VT 05452-4607 Ph: (802) 399-6041	Michael Nichols, LICSW 12 Killoran Dr, Essex Junction, VT 05452-4607 Ph: (802) 399-6041

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Social Worker in Essex Junction, VT

Ms. Amber L. Minton, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15 Pinecrest Dr, Essex Junction, VT 05452 Phone: 802-288-1087 Fax: 802-878-4404
Ms. Linda Himelstein, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Pinecrest Dr, Essex Junction, VT 05452 Phone: 802-288-1087
Ms. Kerry L. Stout, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15 Pinecrest Dr, Essex Junction, VT 05452 Phone: 802-288-1087 Fax: 802-878-4404
Mr. Ira Kenneth Glasser, LCSW; LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Sydney Drive, Essex Junction, VT 05452 Phone: 707-676-3133
Leah K Barnett, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Pearl St, Essex Junction, VT 05452 Phone: 802-393-1992
Abigail Matchette, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1002a Ethan Allen Ave, Essex Junction, VT 05452 Phone: 802-304-0703
Samuel G. Conant, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Pinecrest Dr, Essex Junction, VT 05452 Phone: 802-288-1087 Fax: 802-878-4404

Michael Nichols, LICSW - Medicare Clinical Social Worker in Essex Junction, VT