Nicole Marie Fesmire, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017865 Issued in PA

Practice address

3250 W Lake Rd
Erie, PA 16505-3691

Phone

(814) 384-9836

NPI assigned

Oct 17, 2011

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

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": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1679858146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CALIFORNIA DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052116",
            "telephone_number": "814-323-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053691",
            "telephone_number": "814-384-9836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2170 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165081952",
            "country_code": "US",
            "telephone_number": "814-835-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FESMIRE",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Ferretti, DO
• Silvia Marie Ferretti, D.O.
• Patricia Lynn Ferrick, LCSW
• Deborah Ferro, SLP
• Lynnette M. Ferry
• Thomas Fessler
• Natalia Fetea, MD
• Kristy Renee Fetty, COTA
• Kimberly Fezell
• Heather Christine Fickenworth, M.S., L.P.C.

• Clinical Social Worker in Erie, PA
• Providers in Erie, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.