Provider Demographics
NPI:1184873374
Name:NICHOLS, LAURA CASBY (MSW)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:CASBY
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 N COTTONWOOD ST # 1519
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-6646
Mailing Address - Country:US
Mailing Address - Phone:530-341-7542
Mailing Address - Fax:530-666-8633
Practice Address - Street 1:137 N COTTONWOOD ST # 1519
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-6646
Practice Address - Country:US
Practice Address - Phone:530-341-7542
Practice Address - Fax:530-666-8633
Is Sole Proprietor?:No
Enumeration Date:2008-09-12
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1267511041C0700X
CAASW235651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical