Individual provider Active NPI

Hannah Jacqueline Nicchi, LMSW

  • Clinical Social Worker
  • Massapequa Park, NY
National Provider Identifier
1003609942
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0903004542 Issued in VA
Practice address
301 2ND Ave
Massapequa Park, NY 11762-1765
Phone
(203) 446-1899
NPI assigned
May 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 122142 NY
Clinical Social Worker 1041C0700X 0903004542 VA Primary

Addresses

Primary practice location

301 2ND Ave
Massapequa Park, NY 11762-1765

Mailing address

301 2ND Ave
Massapequa Park, NY 11762-1765
Phone (203) 446-1899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
122142NYMDClinical Social Worker
0903004542VAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1003609942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 2ND AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621765",
            "telephone_number": "203-446-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 2ND AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621765",
            "telephone_number": "203-446-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICCHI",
        "first_name": "HANNAH",
        "middle_name": "JACQUELINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "122142",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0903004542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.