MS. CAROL J SUTHERLAND NICKERSON (LICSW BCD) – Social Worker, NPI 1548244254

MS. CAROL J SUTHERLAND NICKERSON (LICSW BCD) is a healthcare provider. based in North chatham, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW BCD. They hold a License No. 1023047 (MA). The NPI Number for MS. CAROL J SUTHERLAND NICKERSON (LICSW BCD) is 1548244254

Main info

Female
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
MS. CAROL J SUTHERLAND NICKERSON (LICSW BCD)
NPI
1548244254
Phone
(508) 432-5640
Address
PO BOX 563
Enumeration Date
6 December 2005
Last Update Date
3 February 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084325640
Graduation Year
1991 (35 years ago)
PAC ID
8224092788
Professional Enrollment ID
I20090128000106
Address ID
MA026453448HA915XX28XX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MS. CAROL J SUTHERLAND NICKERSON (LICSW BCD)

  • PO BOX 563

    NORTH CHATHAM, MA 026500563

    Phone: (508) 432-5640

    Fax: (508) 432-5659

    Type: Mailing

  • 915, Main Street, South Harwich, Harwich, Barnstable County, Massachusetts, 02661, United States

    HARWICH, MA 026453448

    Phone: (508) 432-5640

    Fax: (508) 432-5659

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2009-01-28

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
I20090128000106IClinical 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
90834Psychotherapy, 45 minutes23016$0
View full utilization report →

Insurance plans in this area (ZIP 02650)

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Reviews

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Frequently asked questions

Is there an official ID for MS. CAROL J SUTHERLAND NICKERSON (LICSW BCD) in U.S. healthcare records?
The official identifier for MS. CAROL J SUTHERLAND NICKERSON (LICSW BCD) is NPI 1548244254.
Is MS. CAROL J SUTHERLAND NICKERSON (LICSW BCD) shown as active in public data?
Registry records indicate MS. CAROL J SUTHERLAND NICKERSON (LICSW BCD) maintains an active NPI.
What clinical focus is listed for MS. CAROL J SUTHERLAND NICKERSON (LICSW BCD)?
At a glance, MS. CAROL J SUTHERLAND NICKERSON (LICSW BCD) is tied to Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. CAROL J SUTHERLAND NICKERSON (LICSW BCD)?
Directory geography for MS. CAROL J SUTHERLAND NICKERSON (LICSW BCD) centers on North Chatham, Massachusetts.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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