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

Active since July 10, 2006PECOS Enrolled
1407 WILLIAMS RD, YORK, PA 17402(717) 851-6340 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2024, Mar 1, 2017 (2 updates tracked since 2017).

About Nicole M Sisson Msw, Lsw NPPES

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

NICOLE M SISSON MSW, LSW (NPI 1164456026) is an individual clinical provider in York, Pennsylvania, licensed in Pennsylvania (SW124543) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164456026
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE M SISSONCredential: MSW, LSW
Location Address1407 WILLIAMS RDYork, PA 17402-9000
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 851-6340
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1164456026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · SW124543
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.
Also ListedSocial WorkerTaxonomy 104100000X · License SW124543 (PA)
1407 WILLIAMS RD, York, PA 17402
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Other Names 1

Other Name (5)Nicole M Gannon Msw, Lsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole M Sisson Msw, Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nicole Sisson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellspan Medical Group
Same address
Psychiatry
1407 WILLIAMS RD
York, PA 17402
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1740249325 (717) 851-6340

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 17402 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

ROBERT SCOTT BORO MS LIC PSYCHOLOGIST
Psychologist (Clinical)
1407 WILLIAMS RD
YORK, PA 17402
York County (717) 851-6340
LINDSAY ELIZABETH CAMPBELL DO
Psychiatry & Neurology (Psychiatry)
1407 WILLIAMS RD
YORK, PA 17402
York County (717) 851-6340
STACY L SCALYER LBS, BCBA
Behavior Analyst
1407 WILLIAMS RD
YORK, PA 17402
York County (717) 845-2482
DR. GREGORY B SULLIVAN MD
Psychiatry & Neurology (Psychiatry)
1407 WILLIAMS RD
YORK, PA 17402
York County (717) 851-6340
KENNETH MCRAE ROGERS M.D.
Psychiatry & Neurology (Psychiatry)
1407 WILLIAMS RD
YORK, PA 17402
York County (717) 851-6340
LINDA M MILLER MSW, LCSW
Social Worker (Clinical)
1407 WILLIAMS RD
YORK, PA 17402
York County (717) 851-6340
AIMEE ELIZABETH SANCHEZ
Behavior Technician
1407 WILLIAMS RD
YORK, PA 17402
York County (717) 845-8482
OLLIE CAR'NNE MOSS MA, LBS
Behavior Analyst
1407 WILLIAMS RD
YORK, PA 17402
York County (717) 894-5112

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 Nicole Sisson's NPI number?

The NPI number for Nicole Sisson is 1164456026. It was assigned to this individual provider in the NPPES registry on July 10, 2006. The provider is also known as Nicole M Gannon Msw, Lsw.

Where is Nicole Sisson located?

Nicole Sisson practices at 1407 Williams Rd, York, PA 17402. The listed phone number is (717) 851-6340.

What is Nicole Sisson's specialty?

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

Is Nicole Sisson enrolled in Medicare?

Yes. Nicole Sisson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Sisson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Sisson reassigns Medicare benefits to Wellspan Medical Group (York, PA). 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 Nicole Sisson'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 Nicole Sisson was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.