MS. LYNN NICKENS (NPI# 1114138252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114138252 |
| Entity Type | Individual |
| Full Name | MS. LYNN NICKENS |
| Credential | M.S.W., LCSW |
| Practice Address |
14270 Seventh St Suite 3 Victorville CA 92395-4203 |
| Mailing Address |
1540 Barton Rd #114 Redlands CA 92373-5439 |
| Practice Telephone | 7602417500 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2009-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
18158 | CA | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
18158 | CA | Behavioral Health & Social Service Providers |
| Street Address |
14270 SEVENTH ST SUITE 3 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457782484 | Susan Savella Cole | Social Worker | 15633 11th Street, Victorville, CA 92395-9998 | 2013-12-02 |
| 1912259540 | Omar J Vega | Social Worker | 12383 Luna Road, Victorville, CA 92392 | 2012-10-05 |
| 1386976595 | Cynthia Lee Gaines | Social Worker | 13035 Wrangler Ln, Victorville, CA 92392-6346 | 2010-02-12 |
| 1013248608 | Christopher Lee Fadness | Social Worker | 15095 Amargosa Rd Ste 107, Victorville, CA 92394-1868 | 2010-01-20 |
| 1578898854 | Clarissa Rico Samiley | Social Worker | 13664 Ruby Cir, Victorville, CA 92392-9029 | 2009-10-05 |
| 1477729127 | Tammy Lynn Hunt | Social Worker | 14021 Amargosa Rd Ste 100, Victorville, CA 92392-6404 | 2008-05-02 |
| 1609040997 | Kimberly Ann Moret | Social Worker | 15437 Anacapa Rd Ste 3, Victorville, CA 92392-2458 | 2008-04-17 |
| 1730208927 | Daisy Ann Ukonu | Social Worker | 14252 St Andrews Drive, Suite #5, Victorville, CA 92394 | 2007-03-28 |
| 1679663181 | Jaidev Madgulkar | Social Worker | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2006-10-13 |
| 1629090592 | Jeanne Patricia Newcomer | Social Worker | 15447 Anacapa Rd, Suite 200, Victorville, CA 92392-2481 | 2006-07-23 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.