Address: 741 S 2nd St, Philadelphia, PA 19147-3425
Phone: 6102567321

WENDY DIANE NICKERSON (NPI# 1679170575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679170575
Entity Type Individual
Credential LCSW
Practice Address 741 S 2nd St
PA 19147-3425
Practice Telephone 6102567321
Mailing Telephone 6102567321
Enumeration Date 2020-10-04
Last Update Date 2020-10-04
Gender Code F
Is Sole Proprietor Y


Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
CW021228 PA Behavioral Health & Social Service Providers


NPI Name Taxonomy Address Enumeration
1275893323 Wendy Elaine Nickerson Psychologist 9023 E. Desert Cove Crive, Suite 101, Scottsdale, AZ 85260-5432 2012-05-23

Office Location

Street Address 741 S 2ND ST
State PA
Zip Code 19147-3425

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508336181 Jamica Cropper-Pam Counselor 401 S 2nd St. Suite 301, Philadelphia, PA 19147 2018-11-27
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1669998217 Julianne Leonarda Wiebalk Counselor 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 2017-08-16
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497362404 Lora M Rhodes Social Worker 925 Chestnut St Ste 321a, Philadelphia, PA 19107-4216 2020-09-24
1841806395 Molly Vocino Social Worker 925 Chestnut St Ste 422u, Philadelphia, PA 19107-4216 2020-09-21
1306452065 Rebecca Cammy Social Worker 925 Chestnut St # 422w, Philadelphia, PA 19107-4216 2020-09-18
1598378663 Suzanne Banning Anderson Social Worker Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 2020-08-28
1265045272 Lisa Gabrielle Schilansky Social Worker 4813 Springfield Ave Apt 1, Philadelphia, PA 19143-3409 2020-08-28
1962015537 Joanna Elizabeth Vanore Social Worker 4725 Sheldon St, Philadelphia, PA 19127-1008 2020-08-24
1033722756 Eleanor Taylor Social Worker 942 S 49th St Apt 2fr, Philadelphia, PA 19143-3487 2020-08-24
1629680517 Rittenhouse Counseling Center, LLC Social Worker 525 S 4th St Ste 240c, Philadelphia, PA 19147-1573 2020-08-20
1437761061 Coleen Keisha Felder Social Worker 5900 Race St, Philadelphia, PA 19139-2304 2020-08-17
1649881244 Nicole M Guessford Social Worker 1700 Lindley Ave, Philadelphia, PA 19141-1545 2020-08-17
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Zip Code 19147

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Dataset Information

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.