MACKENZIE NICKERSON LADC, CCS
NPI 1336761444
Counselor - Addiction (Substance Use Disorder) in Biddeford, ME

Active since May 12, 2020
6 DIGITAL DR, BIDDEFORD, ME 04005(207) 800-3347 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2024, Jun 7, 2023, May 12, 2020 (3 updates tracked since 2020).

About Mackenzie Nickerson Ladc, Ccs NPPES

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

MACKENZIE NICKERSON LADC, CCS (NPI 1336761444) is an individual addiction (substance use disorder) provider in Biddeford, Maine, licensed in Maine (LC7602) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1336761444
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMACKENZIE NICKERSONCredential: LADC, CCS
Location Address6 DIGITAL DRBiddeford, ME 04005-4418
Mailing Address6 Digital DrBiddeford, ME 04005-4418 · (207) 800-3347
Sole ProprietorNo
Enumeration DateMay 12, 2020
Last NPPES UpdateJune 19, 20243 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
NPI 1336761444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in ME · LC7602 Licensed in ME · CCS7931
6 DIGITAL DR, Biddeford, ME 04005

Other Identifiers 2

OtherLC7602ME · Ladc
OtherCCS7931ME · Ccs

Other Providers at the Same Location NPPES 2

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

Counselor (Addiction (Substance Use Disorder))
6 DIGITAL DR
BIDDEFORD, ME 04005
Clinic/Center (Rehabilitation, Substance Use Disorder)
6 DIGITAL DR
BIDDEFORD, ME 04005

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 Mackenzie Nickerson's NPI number?

The NPI number for Mackenzie Nickerson is 1336761444. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Where is Mackenzie Nickerson located?

Mackenzie Nickerson practices at 6 Digital Dr, Biddeford, ME 04005. The listed phone number is (207) 800-3347.

What is Mackenzie Nickerson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mackenzie Nickerson was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.