Vicki I Nissen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS13126 Issued in CA

Practice address

6816 Hyde Park Dr Unit S
San Diego, CA 92119-2249

Phone

(619) 462-6815

NPI assigned

Aug 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psy Care Inc

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1891707956
  NPD (past)
• Psycare, Inc.

  • Marriage & Family Therapist
  • Vista, CA
  • NPI 1841532298
  NPD (past)
• Psycare,Inc.

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1811977606
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1154578474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6816 HYDE PARK DR UNIT S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192249",
            "telephone_number": "619-462-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 HYDE PARK DR UNIT S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192249",
            "telephone_number": "619-462-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSEN",
        "first_name": "VICKI",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS13126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beti Nissan, MD
• David Asher Nissan, MD
• Merna Nissan
• Kimberly S. Nissen, R.N.
• Sheryl Nissen, SLP
• Haley Nisson, CGC
• Kenneth S. Nitahara, MD
• Ariela Nitevich
• Heather Marie Nitschke, PT,DPT
• David Kakichi Kauahao Nitta, MD

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.