Nina Lynn Dickerman, MSW

Individual provider Active NPI Clinical Social Worker · West Newton, MA

NPI 1457089286 · NPPES record last updated Jan 5, 2026

Key facts

NPI
1457089286
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LICSW1142712 (MA)
Practice address
167 Auburndale Ave
West Newton, MA 02465-1424
Phone
(617) 590-1331
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LICSW1142712MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dickerman Therapy & Consulting LLC Clinical Current
since Dec 21, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X LICSW1142712 MA Yes

Addresses

Primary practice location

167 Auburndale Ave
West Newton, MA 02465-1424

Mailing address

167 Auburndale Ave
Newton, MA 02465-1424
Phone (617) 590-1331

Other providers in West Newton, MA

All providers in West Newton, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.