Jason William Nickerson, CADC - Counselor in Portland, ME

Jason William Nickerson, CADC is a Counselor - Addiction (substance Use Disorder) based in Portland, Maine. Jason William Nickerson is licensed to practice in Maine (license number CAC5536) and his current practice location is 72 Auburn St, Portland, Maine. He can be reached at his office (for appointments etc.) via phone at (207) 245-1800.

NPI number for Jason William Nickerson is 1841722378 and his current mailing address is 72 Auburn St, Portland, Maine. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841722378.

Contact Information

Jason William Nickerson, CADC
72 Auburn St,
Portland, ME 04103-2104
(207) 245-1800
(207) 899-1599

Map and Direction


Healthcare Provider's Profile

Full NameJason William Nickerson
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location72 Auburn St, Portland, Maine
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841722378
  • Provider Enumeration Date: 04/03/2017
  • Last Update Date: 04/03/2017

Medical Identifiers

Medical identifiers for Jason William Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841722378NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) CAC5536 (Maine)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. Jason William Nickerson 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
Jason William Nickerson, CADC
72 Auburn St,
Portland, ME 04103-2104

Ph: (207) 245-1800
Jason William Nickerson, CADC
72 Auburn St,
Portland, ME 04103-2104

Ph: (207) 245-1800

Reviews and Comments


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