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Provider Profile

Jacob Nicholls, LCSW

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At a glance

About Jacob Nicholls

Jacob Nicholls, LCSW is a clinical social worker based in Southbury, CT. The provider's National Provider Identifier (NPI) is 1134907942.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2020

Specialty

Credentials & Licensing

CT licenceAs reported to the NPI registry
No. 13366As reported
NPINational Provider Identifier
1134907942Issued 2023

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jacob Nicholls specialize in?

Jacob Nicholls is a clinical social worker in Southbury, CT. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jacob Nicholls located?

Jacob Nicholls is listed at 519 Heritage Rd Ste 2A5, Southbury, CT 06488. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jacob Nicholls's phone number?

The number on file is (203) 568-5923. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jacob Nicholls's NPI number?

Jacob Nicholls's National Provider Identifier is 1134907942. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jacob Nicholls train?

Jacob Nicholls attended Other, graduating in 2020. This comes from the CMS National Downloadable File.

CMS public data

How long has Jacob Nicholls been practicing?

Jacob Nicholls has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.

CMS public data

Has Jacob Nicholls confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jacob Nicholls. If this is you, claiming it is free.

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