NICOLE M SISSON MSW, LSW
NPI 1164456026
Social Worker - Clinical in York, PA

NPI Status: Active since July 10, 2006

Contact Information

1407 WILLIAMS RD
YORK, PA
ZIP 17402
Phone: (717) 851-6340

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Social Worker
Clinical
PECOS Enrolled

About NICOLE SISSON

This page provides the complete NPI Profile along with additional information for Nicole Sisson, a provider established in York, Pennsylvania with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1164456026 assigned on July 2006. The practitioner's primary taxonomy code is 1041C0700X with license number SW124543 (PA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1164456026
Provider Name: NICOLE M SISSON MSW, LSW
Other Name: NICOLE M GANNON MSW, LSW
Other Name Type: Other Name (5)
Gender: Female
Entity Type: Individual
Location Address: 1407 WILLIAMS RD YORK, PA 17402
Location Phone: (717) 851-6340
Mailing Address: 601 MEMORY LN YORK, PA 17402
Mailing Phone: (717) 851-1405
Mailing Fax
Is Sole Proprietor?: No
Enumeration Date: 07-10-2006
Last Update Date: 12-13-2024
Code Navigator

A clinical social worker like Nicole Sisson is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Social Worker Clinical
Taxonomy Code: 1041C0700X
Type: Behavioral Health & Social Service Providers
License No.: SW124543
License State: PA
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	104100000X	Behavioral Health & Social Service Providers	Social Worker	SW124543 (PA)

Medicare Participation & PECOS Enrollment Status

Nicole Sisson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 17402 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

Average New Patient Price $0
Minimum New Patient Price $54.64
Maximum New Patient Price $166.87

Average New Patient Copayment $0
Minimum New Patient Copayment $13.66
Maximum New Patient Copayment $41.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $68.36
Minimum Established Patient Price $17.33
Maximum Established Patient Price $135.84

Average Established Patient Copayment $17.09
Minimum Established Patient Copayment $4.33
Maximum Established Patient Copayment $33.96

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	6	4	4	5	6	0	2	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	12	4	8	5	12	0	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 8 + 5 + 1 + 2 + 0 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6									6

The NPI number 1164456026 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

AMANDA NICOLE HOFF MSW LSW

Social Worker

1407 WILLIAMS RD
YORK, PA
ZIP 17402

About NICOLE SISSON

Location Map

Specialty - Primary Taxonomy

Social Worker Clinical

Secondary Taxonomies

Social Worker

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): No

Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for NICOLE M SISSON MSW, LSW

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

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