CAITLYN ELIZABETH NICHOLAS (LCSW) – Social Worker, NPI 1053079277

CAITLYN ELIZABETH NICHOLAS (LCSW) is a healthcare provider. based in Columbia, Maryland. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904016360 (VA). The NPI Number for CAITLYN ELIZABETH NICHOLAS (LCSW) is 1053079277

Main info

Female
Sole Proprietor
6 Years Of Experience
Name
CAITLYN ELIZABETH NICHOLAS (LCSW)
NPI
1053079277
Phone
(410) 740-8066
Address
10630 LITTLE PATUXENT PKWY STE 209
Enumeration Date
5 December 2021
Last Update Date
6 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7035629220
Graduation Year
2020 (6 years ago)
PAC ID
9739528308
Group Practice PAC ID
7113165739
Professional Enrollment ID
I20240416000125
Address ID
VA223145210AL2800XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:4State licenses:2Digital endpointsOther names

2,276 CLINICAL SOCIAL WORKER in MD

Provider Addresses for CAITLYN ELIZABETH NICHOLAS (LCSW)

  • 10630 LITTLE PATUXENT PKWY STE 209

    COLUMBIA, MD 210446278

    Phone: (410) 740-8066

    Type: Mailing

  • 950 N WASHINGTON ST FL 3

    ALEXANDRIA, VA 223142398

    Phone: (410) 740-8066

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240416000125IClinical Social WorkerDCTBD
I20240418003851IClinical Social WorkerVATBD
I20241122002099IClinical Social WorkerMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21044)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113165739View full group profile
NameSpecialtyState
Mental Health CounselorGA
Nurse PractitionerVA
Nurse PractitionerVA
Physician AssistantVA
P S Y C H I A T R YDC
Nurse PractitionerMD
P S Y C H I A T R YWV
Mental Health CounselorHI
P S Y C H I A T R YMD
Physician AssistantMA

Reviews

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Frequently asked questions

What NPI should I save for CAITLYN ELIZABETH NICHOLAS (LCSW)?
Save NPI 1053079277 if you need a stable reference for CAITLYN ELIZABETH NICHOLAS (LCSW).
Is CAITLYN ELIZABETH NICHOLAS (LCSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CAITLYN ELIZABETH NICHOLAS (LCSW) list a primary specialty?
If you are matching referrals, note Social Worker for CAITLYN ELIZABETH NICHOLAS (LCSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for CAITLYN ELIZABETH NICHOLAS (LCSW)?
The page summarizes Columbia, Maryland for CAITLYN ELIZABETH NICHOLAS (LCSW); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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