P Praxis·MD
● Active Type 1 · Individual

Jessica Nickerson, LCSW

Social Worker·Ammon, ID· NPI 1467792036 · Enumerated 2013 · 13 years on NPI
Nickerson is 1 of 32 social worker providers in Ammon and 1 of 2000 in Idaho.
NPI age
13 years
Enumerated 2013-02-19
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2000 active social worker providers in Idaho.

NPI age
13 years
↑ 3 yr above median (10 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-02Enumerated in NPPES
2013 2026

Where they practice

Practice location
1329 Ammon Park Dr
Ammon, ID 834064591
📞 2085345554fax 2085345580
Mailing address
1329 Ammon Park Dr
Ammon, ID 834064591
📞 2085345554fax 2085345580

Specialties

  • Social Worker Primary
    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...
    ID license #LCSW-34184 taxonomy 1041C0700X

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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