STEPHANIE NICKSON (MSW, LCSW) – Social Worker, NPI 1023460946

Social Worker

STEPHANIE NICKSON (MSW, LCSW) is a healthcare provider. based in Woodburn, Oregon. specializing in Social Worker. They hold the professional credentials MSW, LCSW. They hold a License No. 4527 (OR). The NPI Number for STEPHANIE NICKSON (MSW, LCSW) is 1023460946

Main info

Female

12 Years Of Experience

Accepts Medicare Assignment

Name

STEPHANIE NICKSON (MSW, LCSW)

NPI

1023460946

Phone

(971) 983-5214

Address

1475 MOUNT HOOD AVE

Enumeration Date

2 July 2016

Last Update Date

28 August 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9719835260

Graduation Year

2014 (12 years ago)

PAC ID

7012248008

Group Practice PAC ID

8921901877

Professional Enrollment ID

I20191004002084

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience32

Completeness75

Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for STEPHANIE NICKSON (MSW, LCSW)

1475, Mount Hood Avenue, Woodburn, Marion County, Oregon, 97071, United States
WOODBURN, OR 970719066
Phone: (971) 983-5214
Type: Location
11035 NE Sandy Blvd
Portland, OR 972202553
Phone: (503) 258-4200
Type: Location
1475 Mount Hood Ave
Woodburn, OR 970719066
Phone: (971) 983-5214
Type: Location
3417, Northwest 117th Place, Portland, Metro, Washington County, Oregon, 97229, United States
PORTLAND, OR 972083417
Phone:
Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97071)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8921901877View full group profile

Name	Specialty	State
DR. MARIE HEBERT (M.D.)	Family Practice	OR
MARTIN ROBERT BOX (MD)	Family Practice	WA
ALFONSO CAPURAS (APRN)	Nurse Practitioner	TX
DR. JULIE CHRISTINE BROYHILL (MD)	Family Practice	OR
MR. ANTHONY NELSON SMITH (P.A.)	-	OR
DR. SEAN GLASS (MD)	P S Y C H I A T R Y	MA
GILBERT EARL NICHOLSON-NELSON (M.S.W., L.C.S.W.)	Clinical Social Worker	OR
MR. STEPHEN JOSEPH COMELLA (LPC)	Mental Health Counselor	OR
JAMEY LYNN WALKER (M.D.)	Family Practice	OR
ANALIESSE M. CARTER (M.D.)	Family Practice	WA