Individual provider Active NPI

Nicole A. Zippin, LCSW-C

  • Clinical Social Worker
  • Easton, MD
National Provider Identifier
1922329895
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
300 Talbot St
Easton, MD 21601-3525
Phone
(410) 822-1018
Fax
(410) 820-5884
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 15972 MD
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

300 Talbot St
Easton, MD 21601-3525

Mailing address

100 E Carroll St RM 3581
Salisbury, MD 21801-5422
Phone (410) 543-7119

Other practice location 1

100 E Carroll St Rm 3581
Salisbury, MD 21801-5422
Phone (410) 543-7119

Other practice location 2

100 E Carroll St
Salisbury, MD 21801-5493
Phone (800) 749-5191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140116000622 MD Practitioner - Clinical Social Worker 0446488571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
For All Seasons, Inc.Group PAC ID 0244214187, 17 clinicians

Practice addresses (Care Compare)

300 Talbot St
Easton, MD 21601-3525
Phone (410) 822-1018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
For All Seasons, Inc Clinical CurrentSince May 9, 2022 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Dec 1, 2018 Accepting new patients
For All Seasons, Inc. Clinical Past Accepting new patients

Locations

208 Cedar St
Cambridge, MD 21613
Phone (410) 476-4441

300 Talbot St
Easton, MD 21601

100 E Carroll St
Rm 3581
Salisbury, MD 21801
Phone (410) 543-7119

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

100 E Carroll St
Ste 400
Salisbury, MD 21801
Phone (410) 543-7065

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1922329895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST RM 3581",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-543-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TALBOT ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013525",
            "telephone_number": "410-822-1018",
            "fax_number": "410-820-5884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Carroll St Rm 3581",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015422",
            "country_code": "US",
            "telephone_number": "410-543-7119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E Carroll St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015493",
            "country_code": "US",
            "telephone_number": "800-749-5191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIPPIN",
        "first_name": "NICOLE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "15972",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.