Elizabeth M Nickerson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111272 Issued in NY

Practice address

421 North Main St
Vha Vamc Northampton
Leeds, MA 01053-9764

Phone

(339) 222-2685

NPI assigned

Mar 15, 2007

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)

Enrolled

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1992839351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HOWARD ST",
            "address_2": "2ND FLOOR",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016456",
            "telephone_number": "339-222-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NORTH MAIN ST",
            "address_2": "VHA VAMC NORTHAMPTON",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "010539764",
            "telephone_number": "339-222-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKERSON",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "111272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Murphy, LCSW
• Timothy Murphy, DPT
• Grace Dale Nejman, D.O.
• Melanie Newton
• Que Huong Thi Nguyen, D.O.
• Victoria J Noble, MD
• Rebecca May Noll, PH.D.
• Northampton Management Systems, Inc
• Northampton Vamc
• Northampton Vamc

• Clinical Social Worker in Leeds, MA
• Providers in Leeds, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.