IndividualActive
Jessica Nickerson, LCSW
NPI 1467792036 · Clinical Social Worker · Ammon, ID
Jessica Nickerson, LCSW is a Clinical Social Worker provider in Ammon, ID (NPI 1467792036).
Provider details
- NPI number
- 1467792036
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LCSW-34184 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1329 Ammon Park Dr
Ammon, ID 83406-4591
Phone: (208) 534-5554
Fax: (208) 534-5580
Street-level locationGet directions
Mailing address
1329 Ammon Park Dr
Ammon, ID 83406-4591
Registry dates
- Enumerated
- 2013-02-19
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Frequently asked questions
- What is Jessica Nickerson's NPI number?
- Jessica Nickerson's National Provider Identifier (NPI) is 1467792036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Nickerson's specialty?
- Jessica Nickerson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jessica Nickerson located?
- Jessica Nickerson's practice location on file with NPPES is 1329 Ammon Park Dr, Ammon, ID 83406-4591.
- What is Jessica Nickerson's phone number?
- The practice phone number listed in the NPPES registry for Jessica Nickerson is (208) 534-5554.
- Is Jessica Nickerson's NPI active?
- Yes — Jessica Nickerson's NPI (1467792036) is active in the NPPES registry as of the last update on 2023-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.