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Adam Nickell, LCSW — NPI 1497164347, Ammon, ID | NPI Central

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NPI 1497164347

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Adam Nickell, LCSW

NPI 1497164347 · Clinical Social Worker · Ammon, ID

Provider details

NPI number: 1497164347
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Male
Sole proprietor: Yes
License: 14206814-3501 (UT)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense LCSW- 36181 (ID)
Behavioral Health & Social Service Providers
Mental Health Counselor101YM0800XLicense 14206814-3501 (UT)
Behavioral Health & Social Service Providers
Mental Health Counselor101YM0800XLicense LCSW-36181 (ID)
Behavioral Health & Social Service Providers
Clinical Social Worker1041C0700XLicense 14206814-3501 (UT)
Behavioral Health & Social Service Providers

Practice location

3270 E 17th St # 131

Ammon, ID 83406-6758

Phone: (208) 534-6568

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

3270 E 17th St # 131

Ammon, ID 83406-6758

Additional practice locations (1)

2705 E 17th St
Ammon, ID 83406-6669
Phone: (208) 346-7500
Fax: (208) 346-7501

Registry dates

Enumerated: 2014-08-05
Last updated: 2025-09-25
Certified: 2025-09-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.