Amy C Nickum, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61428109 Issued in WA

Practice address

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292

Phone

(206) 708-6432

NPI assigned

Jun 5, 2023

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1528752425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 GREENWOOD AVE N APT 209",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033650",
            "telephone_number": "503-714-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ELLIOTT AVE W STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194292",
            "telephone_number": "206-708-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKUM",
        "first_name": "AMY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61428109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen J Nick, LMP
• Misty Moon Nickel, LMP
• Caila Fitts Nickerson, SWAIC
• Jenna Nickless
• Delia Ruth Nickolaus, CPNP
• Ray M Nicola, MD
• Anne Elise Marie Nicoladis, MS, CCC-SLP
• Katherine Anne Nicolai, PH.D.
• Rolando Tomas Nicolas, RRT
• Ann Nicolaysen, LMP

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.