MARK NICKERSON (LICSW) – Mental Health Counselor, NPI 1336159615

MARK NICKERSON (LICSW) is a healthcare provider. based in Amherst, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 104628 (MA). The NPI Number for MARK NICKERSON (LICSW) is 1336159615

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
MARK NICKERSON (LICSW)
NPI
1336159615
Phone
(413) 256-0550
Address
368 MIDDLE ST
Enumeration Date
9 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4132560550
Graduation Year
1980 (46 years ago)
PAC ID
6002840303
Professional Enrollment ID
I20050926001041
Address ID
MA010020000AM441XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Loading map...

Provider Addresses for MARK NICKERSON (LICSW)

  • 368, Middle Street, South Amherst, Amherst, Hampshire County, Massachusetts, 01004, United States

    AMHERST, MA 010023016

    Phone: (413) 256-0550

    Fax: (413) 256-0550

    Type: Mailing

  • 441, West Street, Pomeroy Village, South Amherst, Amherst, Hampshire County, Massachusetts, 01004, United States

    AMHERST, MA 010022997

    Phone: (413) 256-0550

    Fax: (413) 256-0550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050926001041IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour29619$0
View full utilization report →

Insurance plans in this area (ZIP 01002)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to MARK NICKERSON (LICSW)?
NPI 1336159615 is assigned to MARK NICKERSON (LICSW) under the national enumeration system.
Is MARK NICKERSON (LICSW) currently active in the NPI registry?
CMS-published data lists MARK NICKERSON (LICSW) as an active registrant.
What field does MARK NICKERSON (LICSW) work in?
You can think of MARK NICKERSON (LICSW) as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does MARK NICKERSON (LICSW) practice in Massachusetts?
You will see Amherst, Massachusetts on file for MARK NICKERSON (LICSW) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

MITCHELL ALAN PINE (LMHC)

Mental Health Counselor
130, Maple Street, South End, Springfield, Hampden County, Massachusetts, 01105, United States
NPI: 1265483986
196, North Pleasant Street, Amherst Center, Amherst, Hampshire County, Massachusetts, 01002, United States
NPI: 1649223397

MR. IRA STEVEN SHARKEY (LMHC)

Mental Health Counselor
20, Gatehouse Road, Echo Village, Amherst, Massachusetts, 01002, United States
NPI: 1023039898

MS. SUZANN P. HERON

Mental Health Counselor
16 SUMNER MOUNTAIN RD
NPI: 1053332551

MS. JANET APRIL STEIN (LMHC)

Mental Health Counselor
50 PLEASANT ST
NPI: 1891719290

BARRY KRIMSKY (LMHC)

Mental Health Counselor
329 Conway St
NPI: 1235220328

ANNA M. TRESTON (LMHC)

Mental Health Counselor
MOUNT TOM MENTAL HEALTH CENTER
NPI: 1740370873

DR. MOSHE WURGAFT (PH.D.)

Mental Health Counselor
256, North Pleasant Street, Amherst Center, Amherst, Hampshire County, Massachusetts, 01004, United States
NPI: 1790863769
235 Maple St
NPI: 1194887984