Active NPIIndividual provider

Ms. Yvonne C Nickerson

Social Worker, Clinical in Mashpee, Massachusetts

NPI Number1275849077
Practice location
11 Market St, Mashpee, MA 02649-7134
Fax
508-433-1871
Last updated
July 22, 2021

Yvonne C.f. Nickerson is a Social Worker, Clinical based in Mashpee, MA. Yvonne C.f. Nickerson practices in Mashpee, MA. The NPI Number for Yvonne C.f. Nickerson is 1275849077 and holds a License No. 120154 (MA). The current practice location address for Yvonne C.f. Nickerson is 11 Market St, Mashpee, MA 02649-7134 and can be reached out via phone at 508-524-8511 and via fax at 508-433-1871.

Provider Profile Details

NPI Number
1275849077
Provider Name
Yvonne C.f. Nickerson
Provider Entity Type
Individual
Gender
Female
Address
11 Market St, Mashpee, MA 02649-7134
Phone Number
508-524-8511
Fax Number
508-433-1871
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2010
Last Update Date
July 22, 2021
Certification Date
July 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Market St
Mashpee, MA 02649-7134
Zip
02649-7134
Phone Number
508-524-8511
Fax Number
508-433-1871
Mashpee, MA 02649Get directions →

Provider Business Mailing Address Details

Address
Po Box 1192
Mashpee, MA 02649-1192
City
Mashpee
State
MA
Zip
02649-1192
Phone Number
508-524-8511
Fax Number
508-433-1871

License Information

Taxonomy (1)
Counselor · 101Y00000X
License Number (2)
120154
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Yvonne C Nickerson?

The NPI number of Ms. Yvonne C Nickerson is 1275849077. It was assigned on August 31, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Yvonne C Nickerson?

Ms. Yvonne C Nickerson is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 120154.

Where does Ms. Yvonne C Nickerson practice?

The practice location is 11 Market St, Mashpee, MA 02649-7134. The office can be reached at 508-524-8511 (phone) or 508-433-1871 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275849077 directly on the NPPES registry website.

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