SARAH NICHOLS (MSW, LCSW) – Social Worker, NPI 1982077913

SARAH NICHOLS (MSW, LCSW) is a healthcare provider. based in Kenosha, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. 8900-123 (WI). The NPI Number for SARAH NICHOLS (MSW, LCSW) is 1982077913

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
SARAH NICHOLS (MSW, LCSW)
NPI
1982077913
Phone
Not provided
Address
920 60TH ST
Enumeration Date
13 November 2015
Last Update Date
22 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2626545333
Graduation Year
2014 (12 years ago)
PAC ID
9830408764
Group Practice PAC ID
1052472586
Professional Enrollment ID
I20180509001533
Address ID
WI531404041KE920XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

Provider Addresses for SARAH NICHOLS (MSW, LCSW)

  • 920 60TH ST

    KENOSHA, WI 531404041

    Phone:

    Mailing address matches the actual address.

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: 2018-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20180509001533IClinical Social WorkerWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour17918$0
90791Psychiatric diagnostic evaluation1414$0
View full utilization report →

Insurance plans in this area (ZIP 53140)

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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: 1052472586View full group profile
NameSpecialtyState
-WI
-WI
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for SARAH NICHOLS (MSW, LCSW)?
SARAH NICHOLS (MSW, LCSW) — NPI 1982077913 — is the standard way to identify this listing.
Does CMS list SARAH NICHOLS (MSW, LCSW) as active?
Yes — SARAH NICHOLS (MSW, LCSW) is active in the NPI listing used on this page.
What is SARAH NICHOLS (MSW, LCSW) best known for clinically?
Directory data describes SARAH NICHOLS (MSW, LCSW) with Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for SARAH NICHOLS (MSW, LCSW)?
SARAH NICHOLS (MSW, LCSW)'s geographic hint is Kenosha, Wisconsin in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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