John W Nickisson is a Clinical in Big Rapids, Michigan. John W Nickisson practices all healthcare services and medical treatments related to Clinical. The NPI Number for John W Nickisson is 1184751521. The last update date is 2012-11-06.
John W Nickisson's current location address is 18554 Northland Dr, Big Rapids, Michigan. You can contact this provider via phone number 2313496111. The mailing address for John W Nickisson is 18554 Northland Dr, Big Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John W Nickisson |
|---|---|
| Address | 18554 Northland Dr, Big Rapids, Michigan |
| Phone Number | 2313496111 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMSW, CAAD |
NPI Number Detail
| NPI Number | 1184751521 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2012-11-06 |
Provider Mailing Address Detail
| Address | 18554 Northland Dr |
|---|---|
| City | Big Rapids |
| State | Michigan (MI) |
| Post Code | 493078788 |
| Phone Number | 2313496111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801087785 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique identifier code issued to John W Nickisson by the Centers for Medicare & Medicaid Services (CMS)?
The John W Nickisson has been assigned the NPI (National Provider Identifier) 1184751521. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where John W Nickisson is physically located?
The John W Nickisson is physically situated at the following address: 18554 Northland Dr, Big Rapids, MI, 493078788.
What is John W Nickisson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John W Nickisson is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the John W Nickisson receive its 1184751521 assignment from the Centers for Medicare & Medicaid Services?
The John W Nickisson was assigned its 1184751521 by the Centers for Medicare & Medicaid Services on 2007-02-27.
As of what date were the details pertaining to John W Nickisson last refreshed?
The information related to the John W Nickisson, including its address, specialty, and other relevant details, was last updated on 2012-11-06.