Patricia M Nichols, LCSW | |
502 S 4th St, Laramie, WY 82070-3704 | |
(307) 755-1000 | |
Not Available |
Full Name | Patricia M Nichols |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 502 S 4th St, Laramie, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407205636 | NPI | - | NPPES |
1407205636 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1419 (Wyoming) | Primary |
1041C0700X | Social Worker - Clinical | 838 (Wyoming) | Secondary |
Entity Name | Patricia M Nichols |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609512086 PECOS PAC ID: 4284012659 Enrollment ID: O20220526001530 |
Mailing Address | Practice Location Address |
---|---|
Patricia M Nichols, LCSW 502 S 4th St, Laramie, WY 82070-3704 Ph: (307) 755-1000 | Patricia M Nichols, LCSW 502 S 4th St, Laramie, WY 82070-3704 Ph: (307) 755-1000 |
Dr. Diane A Kempson, MSW, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 32 Black Elk Trl, Laramie, WY 82070 Phone: 307-399-2502 Fax: 307-766-6839 | |
Carla Koegen, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1277 N 15th St, Laramie, WY 82072 Phone: 307-742-6222 Fax: 307-742-9905 | |
Lauren Mcintosh, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4989 N 3rd St, Laramie, WY 82072 Phone: 307-745-8997 | |
Kym Frances Codallos, MSW,ACSW,LCSW,CPRP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 Roger Canyon Rd, Laramie, WY 82072 Phone: 209-247-3686 | |
Jesse A Mir, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Mccollum St Ste 201, Laramie, WY 82070 Phone: 973-873-8432 | |
Sara Bursac, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 S 12th St, Laramie, WY 82070 Phone: 573-673-0062 | |
Jannelle Ordiway, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1263 N 15th St, Laramie, WY 82072 Phone: 307-745-8915 |