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NICHOLAS FETZER
NPI 1023596152
Social Worker - Clinical in New York, NY

Active since July 31, 2018
928 BROADWAY, NEW YORK, NY 10010(845) 464-2700 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2026, Jul 31, 2018 (2 updates tracked since 2018).

About Nicholas Fetzer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS FETZER (NPI 1023596152) is an individual clinical provider in New York, New York, licensed in New York (101095) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1023596152
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameNICHOLAS FETZER
Location Address928 BROADWAYNew York, NY 10010-6008
Mailing Address2817 Northfield RdCharlottesville, VA 22901-1236 · (845) 464-2700
Phone(845) 464-2700
Sole ProprietorYes
Enumeration DateJuly 31, 2018
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1023596152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 101095
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.
928 BROADWAY, New York, NY 10010
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH MAGGIO L.AC.
Acupuncturist
928 BROADWAY, SUITE #1200
NEW YORK, NY 10010
New York County (212) 777-1318
SYNC PSYCHOLOGICAL SERVICES, PLLC
Psychologist (Clinical)
928 BROADWAY, SUITE #803
NEW YORK, NY 10010
New York County (917) 496-5772
BLISS-POSTON THE SECOND WIND, INC.
Social Worker (Clinical)
928 BROADWAY, SUITE 403
NEW YORK, NY 10010
New York County (212) 481-1055
DR. VIVIAN GIANNAKAKIS D.C.
Chiropractor
928 BROADWAY, SUITE 600
NEW YORK, NY 10010
New York County (347) 871-3511
SARAH J WEISS LCSW
Social Worker (Clinical)
928 BROADWAY
NEW YORK, NY 10010
New York County (646) 450-0304
DR. SHERRY SHIEH M.D.
Dermatology
928 BROADWAY, SUITE 204
NEW YORK, NY 10010
New York County (212) 982-8229
DORA-LISAH ST. JOHN LMSW
Social Worker
928 BROADWAY
NEW YORK, NY 10010
New York County (833) 775-6252
ILAINA GOLDWERT PH.D.
Psychologist (Clinical)
928 BROADWAY, SUITE 800
NEW YORK, NY 10010
New York County (347) 915-5280

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Fetzer's NPI number?

The NPI number for Nicholas Fetzer is 1023596152. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Where is Nicholas Fetzer located?

Nicholas Fetzer practices at 928 Broadway, New York, NY 10010. The listed phone number is (845) 464-2700.

What is Nicholas Fetzer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Nicholas Fetzer was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.