Individual
MR. ROBERT T NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC LADCI CADAC
Contact information
Practice address
585 LINCOLN STREET, WORCESTER, MA 01605
(508) 854-3320
(508) 753-5051
Mailing address
31 HARVARD ST, C/O FAMILY SERVICES OF CENTRAL MASS, WORCESTER, MA 01609-2836
(508) 854-3320
(508) 753-5051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0991AL
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
21
MA
101YM0800X
Mental Health Counselor
5622
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306421
—
MA
01
—
1308758
MCD MH
MA
01
—
2220002001
BCBS SA
MA
01
—
M18684
BCBS MH
—
Enumeration date
08/23/2006
Last updated
09/11/2025
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