Debra H Nickerson in Burlington - Clinical
Debra H Nickerson - NPI 1518029479
Debra H Nickerson is a Clinical in Burlington, Vermont. Debra H Nickerson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Debra H Nickerson is 1518029479. The last update date is 2011-05-13.
Debra H Nickerson's current location address is 208 Flynn Ave, Burlington, Vermont. You can contact this provider via phone number 8024886900 and fax number 8024886919. The mailing address for Debra H Nickerson is 208 Flynn Ave, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra H Nickerson |
|---|---|
| Address | 208 Flynn Ave, Burlington, Vermont |
| Phone Number | 8024886900 |
| Fax Number | 8024886919 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1518029479 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2011-05-13 |
Provider Mailing Address Detail
| Address | 208 Flynn Ave |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54015429 |
| Phone Number | 8024886900 |
| Fax Number | 8024886919 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 089-0000945 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1014509 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Debra H Nickerson by the Centers for Medicare & Medicaid Services (CMS)?
The Debra H Nickerson has been assigned the NPI (National Provider Identifier) 1518029479. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Debra H Nickerson located?
The Debra H Nickerson is located at 208 Flynn Ave, Burlington, VT 54015429.
What is the area of specialization for Debra H Nickerson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Debra H Nickerson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518029479 to Debra H Nickerson?
The Centers for Medicare & Medicaid Services originally issued the 1518029479 to Debra H Nickerson on 2006-12-15.
As of what date was the information pertaining to Debra H Nickerson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Debra H Nickerson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-05-13.
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