Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACKSON TATE NICHOLS
Active Sole ProprietorClinical Social Worker · SHERIDAN, WY
Registration Details
- NPI Number
- 1548130255
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2025 (0.46499296212322 yrs)
- Last Updated
- Nov 7, 2025
- License
-
PCSW-1274 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 E LOUCKS ST # 3014SHERIDAN, WY, 828019998Browse WY providers · Browse ZIP 82801
- Phone
- 3077523463
- Fax
- 3077523463
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SHERIDAN, WY
| Name | Credential | NPI |
|---|---|---|
| BECKY SUE CLARK | LCSW | 1306806955 |
| MILTON MEIS | MSW | 1922056027 |
| PATRICIA L SCHWAIGER | MSW | 1174571590 |
| MRS. DONNA JEAN HOLST | MSW, LCSW, LAT | 1801845805 |
| SHARYN SILER | LCSW | 1376597245 |
| MR. JASON CAINE CARTER | LCSW | 1659325553 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.