| Doctor Name: | PATRICIA DIANE NICHOLS |
| NPI Number: | 1013039635 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACSW |
| License Number: | 116467 |
| Business Practice Address: | 45 Walker St Ste 2 2nd Floor Lenox, MA - 012402765 |
| Business Phone Number: | 4137701928 |
| Business Fax Number: | 6507634566 |
| Mailing Address: | Po Box 2008, LENOX |
| State: | MA |
| Postal Code: | 012405008 |
| Phone Number: | 4137701928 |
| Fax Number: | 6507634566 |
| NPI Enumeration Date: | 04/04/2007 |
| NPI Last Update Date: | 01/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 116467 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |