Robin H Nickerson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1112219 Issued in SC

Practice address

709 Mill St
Camden, SC 29020-4738

Phone

(803) 432-6902

Fax

(803) 432-6890

NPI assigned

Feb 12, 2013

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": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1992044804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MILL ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204738",
            "telephone_number": "803-432-6902",
            "fax_number": "803-432-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 MILL ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204738",
            "telephone_number": "803-432-6902",
            "fax_number": "803-432-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKERSON",
        "first_name": "ROBIN",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "1112219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torill P Nelson
• Amanda Shelton Newman
• Nextgen HME, LLC
• Quoc V Nguyen, MD
• James W Nichols, DO
• G Thomas Norris, MD
• Riley Anne Nowling, PT, DPT
• Leslie Nuckolls, LPC
• Kaitlyn B. Ogle, MOTR/L
• Ohio Valley Physicians Inc

• Addiction (Substance Use Disorder) Counselor in Camden, SC
• Providers in Camden, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.