Kyle James Nichols, LSWAIC is a
Social Worker - Clinical based in Mountlake Terrace, Washington. Kyle James Nichols is licensed to practice in Washington (license number LW61470468) and his current practice location is
6505 216th St Sw Ste 100, Mountlake Terrace, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 745-2426.
NPI number for Kyle James Nichols is 1659671469 and his current mailing address is 20126 Ballinger Way Ne # 322, Shoreline, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659671469.
Healthcare Provider's Profile
Full Name | Kyle James Nichols |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 6505 216th St Sw Ste 100, Mountlake Terrace, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659671469
- Provider Enumeration Date: 10/26/2010
- Last Update Date: 12/19/2023
Medical Identifiers
Medical identifiers for Kyle James Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659671469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 60153970 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW61470468 (Washington) | 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. Kyle James Nichols is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kyle James Nichols, LSWAIC 20126 Ballinger Way Ne # 322, Shoreline, WA 98155-1117 Ph: (206) 745-2426 | Kyle James Nichols, LSWAIC 6505 216th St Sw Ste 100, Mountlake Terrace, WA 98043-2089 Ph: (206) 745-2426 |
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