Last edited 03/01/2024

Nicholas Smith LCSW

VerifiedOffers Online TherapyIn-person Meetings
Acepting new clientsAccepts Insurance
Headshot of Nicholas Smith Licensed Clinical Social Worker

General Office Hours

In Eastern Time

Mondayfrom 08:00 AM to 09:00 PM
Tuesdayfrom 08:00 AM to 09:00 PM
Wednesdayfrom 08:00 AM to 09:00 PM
Thursdayfrom 08:00 AM to 09:00 PM
Fridayfrom 08:00 AM to 09:00 PM
Saturdayfrom 08:00 AM to 09:00 PM
Sundayfrom 08:00 AM to 09:00 PM

What does a first session with you look like?

The first session, as with all Thriveworks therapists, will involve talking through your needs and goals for therapy — whether those involve managing depression, anxiety, relationship problems, or another mental health challenge. This will enable you to receive the very best care, as a personalized treatment plan will then be developed for subsequent sessions. Thriveworks helps people live happier, more fulfilling lives. Clients are guided and supported as they work through their unique mental health challenges – and, along the way, shown the life-changing power of therapy.

What is your style/approach to therapy?

I offer a variety of counseling approaches including CBT / Cognitive Behavioral Therapy, Family Systems.

What should we know about your experiences and background?

Nicholas Smith is a Licensed Clinical Social Worker who specializes in anxiety, depression, self-harm, substance abuse, life transitions, and relationship issues. He gained 10 years of experienceafter graduating from New York University with a Master's in Social Work. Nicholas worked with mentally ill, criminally-involved individuals with an in-home treatment model designed to assist in recovery. He then transitioned to the emergency room at Bellevue Hospital where his team would work to assist those in crisis. In addition, he provided years of individual therapy for a number of conditions including depression and anxiety as well as psychosis and personality disorders. "It is my belief that each individual carries a strength that allows them to continue; however, at times, it is helpful to have a therapist to realize those strengths and use them to overcome the difficulties," says Nicholas. "Relying on an approach that leans heavily on a dialectical process, my goal is to assist individuals and couples to reach their full potential and thrive."





Sexuality Based Issues


General Expertise





Aging related concerns

Anorexia nervosa

Divorce & separation

Gender identity & transgender health

In-Network Insurance



Cigna EAP



Virginia Blue Shield


First Session$220
Individual Therapy$160
Marriage & Couples Counseling$160
Family Therapy$160
Group Therapy$160

Types of Therapy

Individual Therapy

Marriage & Couples Counseling

Family Therapy

Group Therapy


Adults (25-65)

Seniors (65+)

Treatment Approaches / Modalities

Humanistic Therapy

Narrative Therapy

Dialectical Behavior Therapy (DBT)

Cognitive Behavioral Therapy (CBT)

Existential Therapy


  • Virginia, Licensed Clinical Social Worker, 904009718


Master of Social Work, New York University

Work History


Online Therapy

Office at Thriveworks Counseling & Psychiatry Richmond, Richmond, VA

Frequently Asked Questions About Nicholas Smith, LCSW

It’s not uncommon to have questions before starting therapy. Nicholas Smith, LCSW, has answered a few of the questions they receive most often from new clients.

Is Nicholas Smith accepting new clients?

Yes, Nicholas Smith is accepting new clients for online therapy in Virginia and in-person appointments at Thriveworks Counseling & Psychiatry Richmond, 5310 Markel Rd Suite 102, Richmond, VA, 23230.

Does Nicholas Smith accept insurance?

Yes, Nicholas Smith accepts insurance, including Anthem, Cigna, Cigna EAP, Humana, Optum and Virginia Blue Shield.

What types of therapy does Nicholas Smith offer?

Nicholas Smith offers therapy for couples, families, groups and individuals.

Does Nicholas Smith offer in-person appointments?

Yes, Nicholas Smith offers in-person appointments at Thriveworks Counseling & Psychiatry Richmond, 5310 Markel Rd Suite 102, Richmond, VA, 23230.

Does Nicholas Smith offer online therapy?

Yes, Nicholas Smith offers online therapy via video sessions to people in Virginia.

How quickly can I see Nicholas Smith?

Nicholas Smith typically can speak with new clients within 48 hours. You can see their current general office hours and request an appointment on their profile page.

What languages does Nicholas Smith speak?

Nicholas Smith conducts therapy sessions in English.

Can I book an appointment with Nicholas Smith online?

Yes, you can easily book an appointment with Nicholas Smith online using Choosing Therapy’s directory.