IndividualActive
Stefan Nickum, LICSW
NPI 1518709559 · Clinical Social Worker · Granville, VT
Stefan Nickum, LICSW is a Clinical Social Worker provider in Granville, VT (NPI 1518709559).
Provider details
- NPI number
- 1518709559
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 089.0134493 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
3993 Vt Route 100
Granville, VT 05747-9747
Phone: (206) 818-2439
Approximate (ZIP-level) locationGet directions
Mailing address
3993 Vt Route 100
Granville, VT 05747-9747
Registry dates
- Enumerated
- 2024-06-11
- Last updated
- 2024-06-11
- Certified
- 2024-06-11
Frequently asked questions
- What is Stefan Nickum's NPI number?
- Stefan Nickum's National Provider Identifier (NPI) is 1518709559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stefan Nickum's specialty?
- Stefan Nickum is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Stefan Nickum located?
- Stefan Nickum's practice location on file with NPPES is 3993 Vt Route 100, Granville, VT 05747-9747.
- What is Stefan Nickum's phone number?
- The practice phone number listed in the NPPES registry for Stefan Nickum is (206) 818-2439.
- Is Stefan Nickum's NPI active?
- Yes — Stefan Nickum's NPI (1518709559) is active in the NPPES registry as of the last update on 2024-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.