Amber Nickerson, LISW-CP, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11712 Issued in SC

Practice address

720 Gracern Rd Ste 120
Columbia, SC 29210-7657

Phone

(803) 296-2191

Fax

(803) 551-1252

NPI assigned

Aug 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• True Insights Therapy, LLC

  • Clinical Social Worker
  • Columbia, SC
  • NPI 1457933665
  NPD Authorized official

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1447776679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 LADY ST OFC 239",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013489",
            "telephone_number": "803-855-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 GRACERN RD STE 120",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107657",
            "telephone_number": "803-296-2191",
            "fax_number": "803-551-1252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Indigo Place Ct",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291722698",
            "country_code": "US",
            "telephone_number": "919-909-1514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1122 Lady St Ofc 239",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292013489",
            "country_code": "US",
            "telephone_number": "803-855-1068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKERSON",
        "first_name": "AMBER",
        "credential": "LISW-CP, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2021-04-27",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013446",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Kent Nichols Jr., DMD
• Amy Charlotte Nicholson, LMSW
• Dallas Nicholson
• Jessica Diane Nicholson, PH.D.
• Natalie Nicholson, DO
• Laura Nicklin
• Kimberley Brooke Nidiffer, APRN
• Sydney Renee Nidiffer, PA-C
• Laura Nieman, RN
• Samantha Niemeyer

• Clinical Social Worker in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.