Kelly Hannon Nichols, LCSW-R
Clinical Social Worker · Fayetteville, NY
Kelly Hannon Nichols, LCSW-R is a clinical social worker with a practice address in Fayetteville, New York, and NPI 1649640764, issued on Oct 1, 2015. Check the license (New York 73070425, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kelly Hannon Nichols
- Credential
- LCSW-R
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 73070425 NY
Self-reported in NPPES; status is on the state search - Practice location
- 215 Dawley RD, Fayetteville, NY 13066
- Phone
- (315) 420-6293
- Enumerated
- Oct 1, 2015
- Record last updated
- Oct 1, 2015 (not updated in 11 years: call before relying on the address or phone)
- Fax
- (315) 637-7576
- Medicare enrollment
- Enrolled (PECOS I20170105001080); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 29,293 in New York → Look up another NPI →
Verify Kelly Hannon Nichols in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 73070425Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kelly Hannon Nichols among 29,293 clinical social worker records in New York
Kelly Hannon Nichols, LCSW-R is one of 29,293 clinical social worker records with a practice address in New York. 8% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2015, is newer than 60% of them.
- NPI issued2015 · 60% of these records are older, 36% newer
- In a Medicare fileNo · 8% of these records are
- In the CMS Doctors and Clinicians fileYes · 17% of these records are
- Graduated2001 · median 2001 among the 5,004 with a school on file
- Record last updated2015 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
26 clinical social worker records list a practice address in Fayetteville
They are 26 of the 450 NPPES records with a practice address in Fayetteville, and 29,293 clinical social worker records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 29,293 in New York → Every provider in Fayetteville → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Alan Andrews, PSY.D., DCSWFayetteville, NY 130661386667012
- Cynthia Bahn, M.S.W.Fayetteville, NY 130661861462160
- Carole Bragdon, MSW, LCSWFayetteville, NY 130661386700334
- Cornelia Buur, M.S.W.Fayetteville, NY 130661982793824
- Kathleen Cerro, CSWFayetteville, NY 130661528142536
- Rosemary Collins, M.S.W.Fayetteville, NY 130661841365772
- Marisa De La Garza, MSW, LCSWFayetteville, NY 130661699832576
- Christine Dolley, LCSW RFayetteville, NY 130661780742999
Common questions
What is Kelly Hannon Nichols, LCSW-R's NPI number?
Kelly Hannon Nichols, LCSW-R's National Provider Identifier (NPI) is 1649640764, issued on Oct 1, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Hannon Nichols, LCSW-R located?
The NPPES record lists a practice address at 215 Dawley RD, Fayetteville, NY, 13066. Phone: (315) 420-6293. Providers update this record themselves, so call before visiting.
How can I verify Kelly Hannon Nichols, LCSW-R's license?
NPPES lists New York license number 73070425, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.