MARK NICKELS (NPI# 1124429840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124429840 |
| Entity Type | Individual |
| Full Name | MARK NICKELS |
| Practice Address |
96 South St Ware Ware MA 01082-1616 |
| Practice Telephone | 4139676241 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1300881 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417990748 | Mark Nickels | Psychiatry & Neurology | 300 Crittenden Blvd, Rochester, NY 14642-0001 | 2006-06-14 |
| 1679520837 | Mark W Nickels | Internal Medicine | 100 Ter Heun Drive, Falmouth Hospital, Falmouth, MA 02540 | 2006-05-30 |
| Street Address |
96 SOUTH ST WARE |
| City | WARE |
| State | MA |
| Zip Code | 01082-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822022 | Ashley Brooks | Social Worker | 96 South St, Ware, MA 01082-1616 | 2019-10-08 |
| 1649755992 | Andrea Rose Murphy | Counselor | 96 South St, Ware, MA 01082-1616 | 2018-10-02 |
| 1275017931 | Jeremy Evan Pierce | Counselor | 96 South St, Ware, MA 01082-1616 | 2018-09-19 |
| 1750867131 | Allison Mary Wilcox | Counselor | 96 South St, Ware, MA 01082-1616 | 2018-07-18 |
| 1417465725 | Jessica Caron Reynolds | Social Worker | 96 South St, Ware, MA 01082-1616 | 2018-01-21 |
| 1942715750 | Elizabeth Ann Smith-zajahowski | Counselor | 96 South St, Ware, MA 01082-1616 | 2017-12-04 |
| 1235643677 | Stephanie Lea Coneys | Counselor | 96 South St, Ware, MA 01082-1616 | 2017-11-21 |
| 1477093110 | Kristina Kovitch | Counselor | 96 South St, Ware, MA 01082-1616 | 2017-02-28 |
| 1184161291 | Laurinda Deflorio | Counselor | 96 South St, Ware, MA 01082-1616 | 2017-01-26 |
| 1104369107 | Alissa Hudson | Counselor | 96 South St, Ware, MA 01082-1616 | 2016-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386957348 | Hakim & Safi, M.d.'s LLC | Internal Medicine | 83 South Street, Suite 2, Ware, MA 01082 | 2010-07-20 |
| 1295924165 | John Richard Weise | Licensed Practical Nurse | 99 Church Street, Ware, MA 01082 | 2007-10-17 |
| 1790973295 | Patricia Ann Hempel | Counselor | 96 South St., Ware, MA 01082 | 2007-10-09 |
| 1124090741 | Herbert Ira Cohen | Dentist | 173 West St, Ware, MA 01082 | 2006-02-07 |
| 1972052892 | Nicholle Blaine | Counselor | 76 Main Street, Ware, MA 01082 | 2016-10-04 |
| 1174940175 | Kimberly A Marakovits | Obstetrics & Gynecology | 83 South Street, Suite 111, Ware, MA 01082 | 2014-03-27 |
| 1033432851 | Nora Lynn Holland | Registered Nurse | 75 Maple St, Ware, MA 01082 | 2010-03-08 |
| 1548274012 | Gerardo B Paulino | Radiology | 85 South St, Ware, MA 01082 | 2006-07-28 |
| 1851466254 | Robert W Shamey | Dentist | 244 West Street, Ware, MA 01082-0060 | 2006-11-21 |
| 1114034253 | Daniel Gerard Berneche | Chiropractor | 246 West Street, Ware, MA 01082-0628 | 2006-08-24 |
| Find all providers in zip 01082 | ||||
| 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 |
|---|---|---|---|---|
| 1740822022 | Ashley Brooks | Social Worker | 96 South St, Ware, MA 01082-1616 | 2019-10-08 |
| 1417465725 | Jessica Caron Reynolds | Social Worker | 96 South St, Ware, MA 01082-1616 | 2018-01-21 |
| 1942752118 | Cynthia Holt | Social Worker | 96 South St, Ware, MA 01082-1616 | 2016-11-03 |
| 1538541933 | Danielle Crescione | Social Worker | 96 South St, Ware, MA 01082-1616 | 2015-06-22 |
| 1962883991 | John Semon | Social Worker | 96 South St, Ware, MA 01082-1616 | 2015-06-16 |
| 1831586130 | Amanda Judycki | Social Worker | 96 South St, Ware, MA 01082-1616 | 2015-04-24 |
| 1225420003 | Craig Nothe | Social Worker | 96 South St, Ware, MA 01082-1616 | 2015-03-03 |
| 1629466966 | Carisa1 Szloch | Social Worker | 96 South St, Ware, MA 01082-1616 | 2015-01-08 |
| 1053719724 | Emily Skoczylas | Social Worker | 96 South St, Ware, MA 01082-1616 | 2014-12-12 |
| 1073910493 | Lynn Fitzgerald | Social Worker | 96 South St, Ware, MA 01082-1616 | 2014-12-01 |
| Find all providers in WARE | ||||
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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.