Amy Nichols, LICSW
NPI 1790910073ActiveIndividual· Social Worker, Clinical· Gardner, MA
Social Worker, Clinical (LICSW) in Gardner, Massachusetts, licensed in MA, with an NPI issued in May 2009. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1790910073 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | May 15, 2009 |
| Last updated in NPPES | Apr 29, 2023 |
| Certified by provider | Apr 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 116418 | MA |
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 (MA) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
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All 34 clinical social workers in Gardner · All clinical social workers in Massachusetts