About Nicole Casthely (She/Her)

Nicole Casthely - Clinical Social Work Associate / Therapist

Hi, I’m Nicole. I’m a therapist who works with teens and adults experiencing anxiety, depression, trauma, LGBTQIA+ concerns, and being unaccepted for who they are. My other treatment focuses are bipolar disorders, obsessive-compulsive disorder (OCD), grief, relationship issues, and family conflicts.

My practice is inclusive, serving clients of various demographics, including individuals of all genders and religious backgrounds and members of the LGBTQIA+ and BIPOC communities. I am excited to work with you to address whatever prevents you from living your best life!

My therapeutic approach is highly individualized and tailored to each client’s specific needs. Central to my approach is my belief in the importance of harmonizing the mind, body, and spirit, as individuals thrive when these aspects are in sync.


What You’ll Gain from Our Work Together

Our sessions will allow you to explore your thoughts, feelings, and goals. You’ll experience a non-judgmental space where you can be yourself, gain clarity, feel what you need to feel, check in with yourself, and embrace the path of self-exploration.

During our sessions, we will work together to:

  • Understand your experiences.

  • Help you feel comfortable, affirmed, and valued.

  • Uncover what’s under the surface.

  • Collaborate and set goals to help you reach them.

  • Support you in becoming healthier and more empowered.

    Together, we will help you feel lighter, freer, and excited about life.


My Journey to Becoming a Therapist

I’m no different from the clients I see. Like everyone else, I’m human. I’ve been through both wonderful and difficult experiences that have shaped who I am and how I help. My desire to help people inspired me to become a therapist, especially after I lost a close friend to suicide. I decided I wanted to be there for people who felt alone and hopeless. I determined being a therapist is the best way I can help clients make positive changes in their lives and overcome hardships.

My Professional Background

I’m a Clinical Social Work Associate (CSWA) in Oregon. I am working toward independent licensure while under supervision. I have over 7 years of clinical experience. I pursued social work to better understand the impact society has on people’s mental health.


My Treatment Focuses


Accepted Forms of Payment

  • Self-Pay

  • Aetna

  • Blue Cross Blue Shield (Regence, Premera, Anthem, etc.)

  • Cigna

  • While I accept the insurances indicated above, I may not accept your specific insurance plan. Clients are responsible for ensuring our organization is in-network with their specific insurance plan and ensuring services are covered by their plan.

  • I do not accept Medicare and Medicaid


Let’s Discover How I Can Support You

It’s time to seek help—to find a therapist who can guide you through the journey of self-discovery and transformation. As you embark on your quest for fulfillment and joy, you deserve to be seen, heard, and supported. Take the bold step of connecting with me, a therapist who can help you find the freedom and fulfillment you seek. Conveniently self-schedule an intake assessment with me using the calendar below. If you have any questions or need assistance, please contact our office at (207) 316-2609.

Schedule Your Intake Assessment

Frequently Asked Questions About Our Practice

Sessions are conducted primarily online via telehealth. If you are interested in meeting with a provider in-person, please contact our office at (207) 316-2609 to discuss availability for in-person sessions.

  • I accept Aetna, Blue Cross Blue Shield (Anthem, Premera, Regence, etc.), Cigna, PacificSource, and Providence. However, I may not accept your specific insurance plan. It is your responsibility to verify that our organization is in-network with your plan and that services are covered.

  • If at any time we discover that we are not in-network with your insurance plan, you will be responsible for the full costs of all sessions (past and future).

  • Please note, I do not accept Medicaid, Medicare, or work with EAPs.

  • Services are available to self-pay clients and those with out-of-network benefits.

  • Please call our office at (207) 316-2609 or complete our contact form if you have any questions.

  • For individuals using insurance to cover appointments, the cost of appointments is determined by each insurance’s contracted rates with our organization. Thus, the cost of appointments may be notably different than the cost of appointments for individuals who are self-pay. Furthermore, the cost of appointments may vary from session to session depending on several factors to include the length of the appointment and the complexity of the appointment. If you plan to use insurance, our office can provide a better estimate of costs once you provide your insurance information. Please contact us at (207) 316-2609 if you require further assistance.

  • For individuals who are self-pay:

    • Rates vary depending on type of service (therapy vs. medication management) and length of session. Please contact our office for additional information.

Payments are completed through our patient portal. Payments can be made using major credit/debit cards (American Express, Visa, Mastercard, etc.) as well as FSAs and HSAs.

Our policy is to collect payments before rendering services. However, we cannot always predict the cost of sessions in advance because services and length of sessions may vary from appointment to appointment. For clients using insurance, you will likely be responsible for either a co-pay or for paying the full costs of sessions until your deductible is met. Please ensure you fully understand your insurance benefits to prevent future billing concerns.

Regardless of your insurance status and payment method, we will always be as up-front with you as possible about the cost of treatment. 

  • The online scheduler above shows my availability over the next 20 days. If no appointments are available, please check back in a few days.
  • For appointments beyond this 20-day window, you can return closer to your preferred appointment date. Alternatively, you can view availability for our other therapists here.

Clients must cancel or reschedule appointments at least 48 hours before their appointment. If appointments are not canceled or rescheduled with at least 48 hours’ notice, or if clients do not show to their appointment, they will be charged a late cancellation fee of $150. To ensure we treat all clients consistently and ethically and to be respectful of our providers’ time, we must enforce our late cancellation and no-show policy. Fees incurred for late cancellations and no shows are out-of-pockets expenses. They cannot be billed to insurance.

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