John W Nickisson, LMSW, CAADC is a
Social Worker - Clinical based in Big Rapids, Michigan. John W Nickisson is licensed to practice in Michigan (license number 6801087785) and his current practice location is
18554 Northland Dr, Big Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at
(231) 349-6111.
NPI number for John W Nickisson is 1184751521 and his current mailing address is 18554 Northland Dr, Big Rapids, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184751521.
Healthcare Provider's Profile
| Full Name | John W Nickisson |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 18554 Northland Dr, Big Rapids, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184751521
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 11/06/2012
Medical Identifiers
Medical identifiers for John W Nickisson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184751521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2-00774 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801087785 (Michigan) | 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. John W Nickisson 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 Address | Practice Location Address |
|---|
John W Nickisson, LMSW, CAADC
18554 Northland Dr,
Big Rapids, MI 49307-8788
Ph: (231) 349-6111 | John W Nickisson, LMSW, CAADC
18554 Northland Dr,
Big Rapids, MI 49307-8788
Ph: (231) 349-6111 |
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