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

JESSICA NICKERSON, LCSW

Active Sole Proprietor

JESSICA NICKERSON, LCSW is a Clinical Social Worker healthcare provider located in AMMON, Idaho. NPI 1467792036 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · AMMON, ID

Registration Details

NPI Number
1467792036
Provider Type
Individual
Gender
Female
NPI Issued
Feb 19, 2013 (13.461505260054 yrs)
Last Updated
Jun 26, 2023
License
LCSW-34184 (ID)
Sole Proprietor
Yes

Practice Information

Address
1329 AMMON PARK DR
AMMON, ID, 834064591
Browse ID providers · Browse ZIP 83406
Phone
2085345554
Fax
2085345580
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in AMMON, ID

Name Credential NPI
MR. DAVID CHARLES HOMER LCSW 1649336488
DALE ALLEN SCHNEIDER LCSW 1386770741
MRS. REBECCA LYNNE MALAN LCSW 1487774063
TIFFANY MCPHERSON LCSW 1699952663
MS. MARCIA D ROBERTS LCSW 1134359607
STACEY LYN ALLEN CSW 1134459548
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.