Jessica Diane Nicholson, PHD is a 
Psychologist based in Columbia, South Carolina. Jessica Diane Nicholson is licensed to practice in South Carolina (license number 1468) and her current practice location is 
6439 Garners Ferry Road, Columbia, South Carolina. She can be reached at her office (for appointments etc.) via phone at 
(803) 776-4000.
NPI number for Jessica Diane Nicholson is 1851686844 and her current mailing address is 1140 Karlaney Ave, Cayce, South Carolina. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851686844.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Jessica Diane Nicholson | 
|---|
| Gender | Female | 
|---|
| Speciality | Psychologist | 
|---|
| Location | 6439 Garners Ferry Road, Columbia, South Carolina | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1851686844
- Provider Enumeration Date: 06/17/2011
- Last Update Date: 07/21/2022
 
		 
		 
Medical Identifiers
		Medical identifiers for Jessica Diane Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1851686844 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary | 
| 103T00000X | Psychologist | 1468 (South Carolina) | Primary | 
		
		
			
			
			
		
		
		 
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. Jessica Diane Nicholson is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Jessica Diane Nicholson, PHD 1140 Karlaney Ave,
 Cayce, SC 29033-3219
 Ph: (201) 206-9839
 | Jessica Diane Nicholson, PHD 6439 Garners Ferry Road,
 Columbia, SC 29208-4123
 Ph: (803) 776-4000
 | 
		
		 
Reviews and Comments