| Mrs Katrina Mary Nichols, LICSW | |
|
456 Flax Pond Rd, Brewster, MA 02631-2133 | |
| (604) 801-2386 | |
| Not Available |
| Full Name | Mrs Katrina Mary Nichols |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 456 Flax Pond Rd, Brewster, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659864890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW02639 (Rhode Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | 121724 (Massachusetts) | Primary |
| Entity Name | Oria Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841825320 PECOS PAC ID: 0042685380 Enrollment ID: O20230419000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katrina Mary Nichols, LICSW 237 Old Mill Rd, Marstons Mills, MA 02648-1054 Ph: (603) 801-2386 | Mrs Katrina Mary Nichols, LICSW 456 Flax Pond Rd, Brewster, MA 02631-2133 Ph: (604) 801-2386 |
Marla Nelson Ker, LCSW-C AND LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 404 Satucket Rd, Brewster, MA 02631 Phone: 301-742-1032 | |
Ms. Elaine E Hayes, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 23 Bay State Ct, Brewster, MA 02631 Phone: 508-237-2337 | |
Mr. Michael Lee Taylor, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 23-25 Bay State Court, Brewster, MA 02631 Phone: 508-240-7964 Fax: 508-240-5448 | |
Mrs. Heidi Z Abrams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 25 Bay State Court, Brewster, MA 02631 Phone: 774-212-0389 Fax: 508-240-5448 | |
Laurie K Anderson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 287 Lund Farm Way, Brewster, MA 02631 Phone: 508-896-3912 | |
Sheri Andon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46 Maple Ln, Brewster, MA 02631 Phone: 781-838-1721 | |
Susan Karen Connolly, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38 Anchors Aweigh Rd, Brewster, MA 02631 Phone: 339-440-1553 |