SANDRA EILEEN NICHOLS MSW
NPI 1629252739
Social Worker - Clinical in Moline, IL
NPI Status: Active since December 26, 2007
Contact Information
106 19TH AVE
SUITE 101
MOLINE, IL
ZIP 61265
Phone: (309) 779-7600
Fax: (309) 779-7252
- Individual
- Female
- Social Worker
- Clinical
About SANDRA NICHOLS
This page provides the complete NPI Profile along with additional information for Sandra Nichols, a provider established in Moline, Illinois with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1629252739 assigned on December 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 149004883 (IL). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1629252739
- Provider Name
- SANDRA EILEEN NICHOLS MSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 106 19TH AVE SUITE 101 MOLINE, IL 61265
- Location Phone
- (309) 779-7600
- Location Fax
- (309) 779-7252
- Mailing Address
- 106 19TH AVE SUITE 101 MOLINE, IL 61265
- Mailing Phone
- (309) 779-7600
- Mailing Fax
- (309) 779-7252
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-26-2007
- Last Update Date
- 06-15-2009
- Code Navigator
A clinical social worker like Sandra Nichols is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 149004883
- License State
- IL
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 05255 (IA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| K49865 | MEDICARE PIN (08) | IL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 2 | 9 | 2 | 5 | 2 | 7 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 4 | 5 | 4 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 4 + 5 + 4 + 7 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1629252739 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518939073 | GEORGE ROBERT HOPKINS PA-C Individual | Physician Assistant | 106 19TH AVE SUITE 103 MOLINE, IL 61265 (309) 779-7050 |
| 1033179544 | DR. MICHAEL JAMES SCHOTT MD Individual | Pediatrics | 106 19TH AVE STE. 103 MOLINE, IL 61265 (309) 779-7050 |
| 1992729636 | TRINITY VISITING NURSE AND HOMECARE ASSOCIATION Organization | Home Health | 106 19TH AVE SUITE 101 MOLINE, IL 61265 (309) 779-7600 |
| 1124034426 | TRINITY VISITING NURSE AND HOMECARE ASSOCIATION Organization | Hospice Care, Community Based | 106 19TH AVE SUITE 101 MOLINE, IL 61265 (309) 779-7600 |
| 1811172877 | TRINITY VISITING NURSE AND HOMECARE ASSOCIATION Organization | Social Worker (Clinical) | 106 19TH AVE SUITE 101 MOLINE, IL 61265 (309) 779-7600 |
| 1346577699 | LAURA C DUNCAN OT Individual | Occupational Therapist | 106 19TH AVE SUITE 101 MOLINE, IL 61265 (309) 779-7600 |
| 1992032924 | TRINITY VISITING NURSE AND HOMECARE ASSOCIATION Organization | Nursing Care | 106 19TH AVE SUITE 101 MOLINE, IL 61265 (309) 779-7600 |
| 1639446677 | BEST SMILES FAMILY DENTAL, LLC Organization | Dentist (General Practice) | 106 19TH AVE SUITE 90 MOLINE, IL 61265 (630) 877-3900 |
| 1194873729 | SERENA L CURLER ARNP, CNP, ACNP, BC Individual | Nurse Practitioner (Acute Care) | 106 19TH AVE SUITE 101 MOLINE, IL 61265 (309) 779-7229 |
| 1912979147 | DR. JAMES MASON BAIN M.D. Individual | Family Medicine | 106 19TH AVE SUITE 103 MOLINE, IL 61265 (309) 779-7068 |
| 1104892215 | DR. EILEEN CASTRO MD Individual | Internal Medicine | 106 19TH AVE SUITE 103 MOLINE, IL 61265 (309) 779-7050 |
| 1598188500 | KIMBERLY MARTIN LCSW LISW Individual | Social Worker (Clinical) | 106 19TH AVE SUITE 101 MOLINE, IL 61265 (309) 779-7600 |
| 1225067903 | TRINITY HEALTH ENTERPRISES, INC. Organization | Durable Medical Equipment & Medical Supplies | 106 19TH AVE SUITE 102 MOLINE, IL 61265 (309) 779-4663 |
| 1285037150 | DR. MICHAEL ALLAN MEHLHOFF D.D.S. Individual | Dentist | 106 19TH AVE SUITE 90 MOLINE, IL 61265 (309) 277-6567 |
| 1336113992 | DR. LATHA BALAMUNISWAMY MD Individual | Family Medicine | 106 19TH AVE SUITE 103 MOLINE, IL 61265 (309) 779-7050 |
| 1912967258 | MRS. MELISSA ANN FRANK HANSSEN NURSE PRACTITIONER Individual | Nurse Practitioner | 106 19TH AVE SUITE 103 MOLINE, IL 61265 (309) 779-7068 |
| 1376708875 | DR. JAMES P CHIANG JAMES CHIANG D.D.S. Individual | Dentist (General Practice) | 106 19TH AVE SUITE #90 MOLINE, IL 61265 (309) 277-6567 |
| 1003470865 | MRS. TRACY L BIER APRN-FNP-BC Individual | Family Medicine | 106 19TH AVE MOLINE, IL 61265 (309) 736-1826 |
| 1427351956 | UNITYPOINT AT HOME Organization | Home Health | 106 19TH AVE SUITE 101 MOLINE, IL 61265 (309) 779-7600 |
| 1518260041 | UNITYPOINT AT HOME Organization | Nursing Care | 106 19TH AVE SUITE 101 MOLINE, IL 61265 (309) 779-7600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629252739, enumerated in the NPI registry as an "individual" on December 26, 2007
The provider is located at 106 19th Ave Suite 101 Moline, Il 61265 and the phone number is (309) 779-7600
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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