Elena Sergeyevna Nichols, LICSW
NPI 1013588490ActiveIndividual· Social Worker, Clinical· Winooski, VT
Social Worker, Clinical (LICSW) with University of Vermont Medical Center Inc, practicing in Winooski, Vermont. Medicare paid $12,687 for services to 20 patients in 2024. Lists Univ. of Vermont - Fletcher Allen Health Care as a hospital affiliation.
Overview
| NPI | 1013588490 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Jul 7, 2021 |
| Last updated in NPPES | Jul 7, 2021 |
| Certified by provider | Jul 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 089.0119566 | VT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (VT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 328 across 7 procedure codes |
| Paid by Medicare | $12,687 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- University of Vermont Medical Center IncBurlington, VT · 1,208 clinicians
Hospital affiliation
- Univ. of Vermont - Fletcher Allen Health CareBurlington, VT
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All 17 clinical social workers in Winooski · All clinical social workers in Vermont