Nancy Nickerson, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7654 Issued in OH

Practice address

1981 Marcus Ave
Suite C114
New Hyde Park, NY 11042-2060

Phone

(516) 987-4200

NPI assigned

May 5, 2017

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1427584747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 MARCUS AVE",
            "address_2": "SUITE C114",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 MARCUS AVE",
            "address_2": "SUITE C114",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422060",
            "telephone_number": "516-987-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKERSON",
        "first_name": "NANCY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "7654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NHP Medical PC
• Nhpe, LLC
• Patrick Nian, MD
• Brian Walrath Nicholas, MD
• Kevin Nicholas
• Taylor E Nickerson, MD
• Effie Nicolopoulos
• Grace Nicot
• Bridget Nieves, M.A.,CCC-SLP/TSSLD
• Mateusz Niewinski, PHARM.D.

• Clinical Social Worker in New Hyde Park, NY
• Providers in New Hyde Park, 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 May 5, 2017; 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.