Stefan Nickum, LICSW - Clinical Social Worker in Granville, VT

Stefan Nickum, LICSW is a Social Worker - Clinical based in Granville, Vermont. Stefan Nickum is licensed to practice in Vermont (license number 089.0134493) and his current practice location is 3993 Vt Route 100, Granville, Vermont. He can be reached at his office (for appointments etc.) via phone at (206) 818-2439.

NPI number for Stefan Nickum is 1518709559 and his current mailing address is 3993 Vt Route 100, Granville, Vermont. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518709559.

Contact Information

Stefan Nickum, LICSW
3993 Vt Route 100,
Granville, VT 05747-9747
(206) 818-2439
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameStefan Nickum
GenderMale
SpecialitySocial Worker - Clinical
Location3993 Vt Route 100, Granville, Vermont
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518709559
  • Provider Enumeration Date: 06/11/2024
  • Last Update Date: 06/11/2024

Medical Identifiers

Medical identifiers for Stefan Nickum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518709559NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 089.0134493 (Vermont)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stefan Nickum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stefan Nickum, LICSW
3993 Vt Route 100,
Granville, VT 05747-9747

Ph: (206) 818-2439
Stefan Nickum, LICSW
3993 Vt Route 100,
Granville, VT 05747-9747

Ph: (206) 818-2439

Reviews and Comments


Social Worker in Granville, VT


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.