Elena Sergeyevna Nichols, LICSW | |
486 Main St Apt A, Winooski, VT 05404-1338 | |
(802) 865-3450 | |
Not Available |
Full Name | Elena Sergeyevna Nichols |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 12 Years |
Location | 486 Main St Apt A, Winooski, Vermont |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013588490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 089.0119566 (Vermont) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Vermont Medical Center Inc | 3779491071 | 970 |
Entity Name | Matrix Health Systems Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104872712 PECOS PAC ID: 1052219359 Enrollment ID: O20031230000156 |
Entity Name | University Of Vermont Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
Mailing Address | Practice Location Address |
---|---|
Elena Sergeyevna Nichols, LICSW 486 Main St Apt A, Winooski, VT 05404-1338 Ph: (802) 865-3450 | Elena Sergeyevna Nichols, LICSW 486 Main St Apt A, Winooski, VT 05404-1338 Ph: (802) 865-3450 |
John Ward, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 79 Weaver Street, Vermont Childrens Aid Society, Winooski, VT 05404 Phone: 802-655-0006 Fax: 802-655-0073 | |
Alice Siegriest, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 79 Weaver St, Vermont Children's Aid Society, Winooski, VT 05404 Phone: 802-655-0006 Fax: 802-655-0073 | |
Ally Bernstein, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 486 Main St Apt A, Winooski, VT 05404 Phone: 802-432-8184 | |
Tara Graham, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 20 W Canal St Ste C2, Winooski, VT 05404 Phone: 802-448-4185 Fax: 802-654-7601 | |
Christine Elizabeth Fellerhoff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 W Canal St Ste C2-3, Winooski, VT 05404 Phone: 609-864-4027 | |
Dorsey T Naylor, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 79 Weaver Street, Vermont Children's Aid Society, Winooski, VT 05404 Phone: 802-655-0006 Fax: 802-655-0073 |