Edna Chism Nicholas, is a medicare enrolled "Social Worker - Clinical" provider in Fort Worth, Texas. Her current practice location is
3309 Winthrop Ave, 90, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 886-4872.
Edna Chism Nicholas is licensed to practice in Texas (license number 55023) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073933669.
Healthcare Provider's Profile
Full Name | Edna Chism Nicholas |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3309 Winthrop Ave, Fort Worth, Texas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Edna Chism Nicholas attended and graduated from in
NPI Data:
- NPI Number: 1073933669
- Provider Enumeration Date: 04/22/2014
- Last Update Date: 11/22/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Edna Chism Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073933669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 12258 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | 55023 (Texas) | 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. Edna Chism Nicholas 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 |
Edna Chism Nicholas, 8628 Paper Birch Ln, Fort Worth, TX 76123-5058 Ph: () - | Edna Chism Nicholas, 3309 Winthrop Ave, 90, Fort Worth, TX 76116-5614 Ph: (214) 886-4872 |
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