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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN W NICKISSON, LMSW, CAADC

Active Sole Proprietor

JOHN W NICKISSON, LMSW, CAADC is a Clinical Social Worker healthcare provider located in BIG RAPIDS, Michigan. NPI 1184751521 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BIG RAPIDS, MI

Registration Details

NPI Number
1184751521
Provider Type
Individual
Gender
Male
NPI Issued
Feb 27, 2007 (19.440638001387 yrs)
Last Updated
Nov 6, 2012
Licenses
2-00774 (MI)
6801087785 (MI)
Sole Proprietor
Yes

Practice Information

Address
18554 NORTHLAND DR
BIG RAPIDS, MI, 493078788
Browse MI providers · Browse ZIP 49307
Phone
2313496111
Fax
2317966280
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in BIG RAPIDS, MI

Name Credential NPI
KAREN LYNNE DUNHAM LMSW 1689694267
ANGELA THOMAS LMSW 1295816239
DAVID EUGENE DEGRAFF JR. MSW, LMSW 1447331988
MRS. JANET LYNN VIZINA-ROUBAL LMSW 1154404838
MRS. CATHERINE JULIA BEAGLE LMSW 1073697835
MISS AMY MICHELLE TRIBE MSW, CAADC 1023179306
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.