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ANNA MARIE NICKERSON
NPI 1336986694
Peer Specialist in Banning, CA

Active since July 12, 2024
1330 W RAMSEY ST, BANNING, CA 92220(951) 551-2473 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2024, Jul 12, 2024 (2 updates tracked since 2024).

About Anna Marie Nickerson NPPES

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

ANNA MARIE NICKERSON (NPI 1336986694) is an individual peer specialist in Banning, California, licensed in California (MPSS-UTBZH) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1336986694
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameANNA MARIE NICKERSON
Location Address1330 W RAMSEY STBanning, CA 92220-4477
Mailing Address1330 W Ramsey StBanning, CA 92220-4477
Phone(951) 551-2473
Sole ProprietorNo
Enumeration DateJuly 12, 2024
Last NPPES UpdateOctober 22, 20242 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1336986694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-UTBZH
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCommunity Health WorkerTaxonomy 172V00000X
1330 W RAMSEY ST, Banning, CA 92220
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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.

MRS. SUSAN LEE JACOBS LCSW
Social Worker (Clinical)
1330 W RAMSEY ST, SUITE 100
BANNING, CA 92220
Riverside County (951) 849-1742
MS. SHARLENE ANN DORSEY LCSW
Social Worker (Clinical)
1330 W RAMSEY ST, SUITE 100
BANNING, CA 92220
Riverside County (951) 849-7142
STEPHANIE MARIE OOLEY
Counselor (Mental Health)
1330 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 849-7142
MRS. SHANNON MCCLEEREY-HOOPER
Counselor (Mental Health)
1330 W RAMSEY ST, #100
BANNING, CA 92220
Riverside County (951) 849-7142
KIMBERLY LIND
Counselor (Mental Health)
1330 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 849-7142
MR. MARCO FERNANDEZ
Social Worker
1330 W RAMSEY ST, STE 100
BANNING, CA 92220
Riverside County (951) 849-7142
MRS. KAREN LIZETH GARCIA CATC
Counselor (Mental Health)
1330 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 849-7142
MS. TAMARRA TA'LAYA HICKS MFT- INTERN
Marriage & Family Therapist
1330 W RAMSEY ST
BANNING, CA 92220
Riverside County (951) 849-7142

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 Anna Marie Nickerson's NPI number?

The NPI number for Anna Marie Nickerson is 1336986694. It was assigned to this individual provider in the NPPES registry on July 12, 2024.

Where is Anna Marie Nickerson located?

Anna Marie Nickerson practices at 1330 W Ramsey St, Banning, CA 92220. The listed phone number is (951) 551-2473.

What is Anna Marie Nickerson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Anna Marie Nickerson was last updated on October 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.