Ms Janice Denise Nichols, MPA, LCSW in Jacksonville, FL - Medicare Clinical Social Worker Provider

Ms Janice Denise Nichols, MPA, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, Florida. She graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Live Life Now Health Group Pa, Live Life Now Health Group Of California Pc, Live Life Now Health Group Pa, Live Life Now Health Group Pa, Live Life Now Health Group Pa and her current practice location is 11701 Palm Lake Dr Apt 1411, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 598-4519.

Ms Janice Denise Nichols is licensed to practice in California (license number 93399) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689980393.

Contact Information

	Ms Janice Denise Nichols, MPA, LCSW
	11701 Palm Lake Dr Apt 1411, Jacksonville, FL 32218-0918
	(904) 598-4519
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Janice Denise Nichols
Gender	Female
Speciality	Clinical Social Worker
Experience	19 Years
Location	11701 Palm Lake Dr Apt 1411, Jacksonville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Janice Denise Nichols graduated from medical school in 2007

NPI Data:

NPI Number: 1689980393
Provider Enumeration Date: 08/19/2010
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1850417908
Enrollment ID: I20100925000266

Medical Identifiers

Medical identifiers for Ms Janice Denise Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689980393	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LISW9656 (South Carolina)	Secondary
1041C0700X	Social Worker - Clinical	54866 (Texas)	Secondary
1041C0700X	Social Worker - Clinical	SW9933 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	93399 (California)	Primary
1041C0700X	Social Worker - Clinical	61116395 (Washington)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Live Life Now Health Group Pa	9537581897	10
Live Life Now Health Group Of California Pc	2769898378	5
Live Life Now Health Group Pa	9537581897	10
Live Life Now Health Group Pa	9537581897	10
Live Life Now Health Group Pa	9537581897	10

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Janice Denise Nichols allows following entities to bill medicare on her behalf.

Entity Name	Live Life Now Health Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770111429 PECOS PAC ID: 9537581897 Enrollment ID: O20200623001823

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Janice Denise Nichols is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Janice Denise Nichols, MPA, LCSW 3887 Eagle Rock Rd, Middleburg, FL 32068-9129 Ph: (904) 476-5089	Ms Janice Denise Nichols, MPA, LCSW 11701 Palm Lake Dr Apt 1411, Jacksonville, FL 32218-0918 Ph: (904) 598-4519

Reviews and Comments

Social Worker in Jacksonville, FL

Mrs. Amanda Kay Callahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5776 Saint Augustine Rd, Jacksonville, FL 32207 Phone: 904-448-4700
Carol Lynne Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11812 Valley Garden Dr, Jacksonville, FL 32225 Phone: 904-673-8237
Ms. Latisha M Hill, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4720 Salisbury Rd, Jacksonville, FL 32256 Phone: 904-493-6190
Susan Lee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12086 Ft.caroline Rd Suite 401, Jacksonville, FL 32225 Phone: 904-565-1271 Fax: 904-645-7325
Sarah Johanna Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr Ste 510, Jacksonville, FL 32207 Phone: 904-376-3800
Kallyn Richardson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11478 Harlan Dr, Jacksonville, FL 32218 Phone: 734-834-0459
Maria Susan Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Edgewood Ave W, Jacksonville, FL 32208 Phone: 904-301-4900 Fax: 904-924-1773

Ms Janice Denise Nichols, MPA, LCSW - Medicare Clinical Social Worker in Jacksonville, FL