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Riley Foster Nichols

Social Worker

Behavioral Health & Social Service Providers

7439 Middlebelt Rd Ste 3, West Bloomfield, MI 48322-4183

PECOS Enrollment

This provider is enrolled in PECOS as RILEY NICHOLS.

Based on the most recent information from CMS, provider Riley Foster Nichols is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1821602103
Provider Type
Individual
Full Name
Nichols, Riley Foster
Credential
LMSW

Gender
Male
Sole Proprietor
No
Enumeration Date
9/3/2020
Last Updated
7/17/2023

Contact Information

Practice Location

7439 Middlebelt Rd Ste 3, West Bloomfield, MI 48322-4183

(517) 974-7756

Unlisted Fax

Mailing Location

120 Thames St Apt 205, Brooklyn, NY 11237-1774

(517) 974-7756

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801115881 Michigan
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License 110200 New York

Riley Foster Nichols

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Addo, Akua Akomaa

Johnson, Chelsea Suzanne

Casagrande, Paige

Herberg, Amanda Cruz

Sekulich, Anna

Olesko, Natalie Kerr

Metzger, Nora

Andrea Golden, Lcsw Llc

Jacobs, Jessica Erin-Gershonowicz

Turner, Rebekah