Active NPIIndividual providerSole proprietor

Larissa F Nickson, LCSW

Social Worker, Clinical in Bordentown, New Jersey

NPI Number1477869865
Practice location
3 3RD St Ste 20, Bordentown, NJ 08505-1370
Fax
—
Last updated
August 1, 2023

Larissa F Nickson is a Social Worker, Clinical based in Bordentown, NJ. Larissa F Nickson practices in Bordentown, NJ and has the professional credentials of LCSW. The NPI Number for Larissa F Nickson is 1477869865 and holds a License No. 44SC05537000 (NJ). The current practice location address for Larissa F Nickson is 3 3RD St Ste 20, Bordentown, NJ 08505-1370 and can be reached out via phone at 732-749-4267.

Provider Profile Details

NPI Number
1477869865
Provider Name
Larissa F Nickson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
3 3RD St Ste 20, Bordentown, NJ 08505-1370
Phone Number
732-749-4267
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 24, 2010
Last Update Date
August 1, 2023
Certification Date
August 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 3RD St Ste 20
Bordentown, NJ 08505-1370
Zip
08505-1370
Phone Number
732-749-4267
Bordentown, NJ 08505Get directions →

Provider Business Mailing Address Details

Address
381 Mckinley Ave
Morrisville, PA 19067-2359
City
Morrisville
State
PA
Zip
19067-2359
Phone Number
732-749-4267

License Information

License Number
44SC05537000
License State
NJ
Taxonomy
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 Larissa F Nickson, LCSW?

The NPI number of Larissa F Nickson, LCSW is 1477869865. It was assigned on August 24, 2010 and is currently active in the NPPES registry.

What is the specialty of Larissa F Nickson, LCSW?

Larissa F Nickson, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05537000.

Where does Larissa F Nickson, LCSW practice?

The practice location is 3 3RD St Ste 20, Bordentown, NJ 08505-1370. The office can be reached at 732-749-4267 (phone).

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 1477869865 directly on the NPPES registry website.

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