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NICKOSHA ALISA WAYNE LCSW
NPI 1093526345
Social Worker - Clinical in Bronx, NY

Active since January 16, 2025PECOS Enrolled
4223 SETON AVE, BRONX, NY 10466(347) 638-1002 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nickosha Alisa Wayne Lcsw NPPES

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

NICKOSHA ALISA WAYNE LCSW (NPI 1093526345) is an individual clinical provider in Bronx, New York, licensed in New York (103162) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093526345
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICKOSHA ALISA WAYNECredential: LCSW
Location Address4223 SETON AVEBronx, NY 10466-2119
Mailing Address4223 Seton AveBronx, NY 10466-2119 · (347) 638-1002
Phone(347) 638-1002
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 16, 2025
Last NPPES UpdateMay 27, 2026
NPPES CertifiedMay 27, 2026
✔ NPI 1093526345 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 · 103162
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.
4223 SETON AVE, Bronx, NY 10466
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nickosha Alisa Wayne Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496219487
PECOS Enrollment IDI20260710001364
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nickosha Wayne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,104 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10466 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nickosha Wayne's NPI number?

The NPI number for Nickosha Wayne is 1093526345. It was assigned to this individual provider in the NPPES registry on January 16, 2025.

Where is Nickosha Wayne located?

Nickosha Wayne practices at 4223 Seton Ave, Bronx, NY 10466. The listed phone number is (347) 638-1002.

What is Nickosha Wayne's specialty?

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

Is Nickosha Wayne enrolled in Medicare?

Yes. Nickosha Wayne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nickosha Wayne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nickosha Wayne reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nickosha Wayne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nickosha Wayne was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.