Mary J Nixon, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0421101 Issued in NY

Practice address

32 Landers Rd
Kenmore, NY 14217-2406

Phone

(716) 597-6178

NPI assigned

Aug 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275542722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 E HAZELTINE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172829",
            "telephone_number": "716-876-5130",
            "fax_number": "716-876-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 LANDERS RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172406",
            "telephone_number": "716-597-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "MARY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0421101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00027123401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000503631001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jo-Anne Heather Newkirk, OTA
• La Toya Newman
• Lisbet Annele Neyman, RD, CDN, CDE
• Emily R Ngayenga, M.S. ED
• Christine Ngo
• Richard Charles Noblett III
• Stuart Nocera, PA-C
• Mary Frances Noonan
• Zachary Robert Norman
• Evelyn Rose Nowak

• Clinical Social Worker in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.