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JESSICA NICKERSON LCSW
NPI 1467792036
Social Worker - Clinical in Ammon, ID

Active since February 19, 2013Opted out of Medicare · through Feb 5, 2027
1329 AMMON PARK DR, AMMON, ID 83406(208) 534-5554(208) 534-5580 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Nickerson Lcsw NPPES

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

JESSICA NICKERSON LCSW (NPI 1467792036) is an individual clinical provider in Ammon, Idaho, licensed in Idaho (LCSW-34184) and active in the NPI registry since February 2013. She has opted out of Medicare through February 5, 2027.

NPPES Registry Identity

NPI1467792036
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA NICKERSONCredential: LCSW
Location Address1329 AMMON PARK DRAmmon, ID 83406-4591
Mailing Address1329 Ammon Park DrAmmon, ID 83406-4591 · (208) 534-5554 · Fax (208) 534-5580
Phone(208) 534-5554
Fax(208) 534-5580
Sole ProprietorYes
Enumeration DateFebruary 19, 2013
Last NPPES UpdateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1467792036 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 ID · LCSW-34184
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.
1329 AMMON PARK DR, Ammon, ID 83406
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Nickerson Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 5, 2025 through February 5, 2027.

Opt-Out Effective DateFebruary 5, 2025
Opt-Out In Effect ThroughFebruary 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

ALYSON MARIE WEBSTER LCPC
Counselor (Mental Health)
1329 AMMON PARK DR
AMMON, ID 83406
Bonneville County (208) 516-1003
AMY GEE
Counselor (Professional)
1329 AMMON PARK DR
AMMON, ID 83406
Bonneville County (208) 403-0135
SHELBY WHITING LPC
Counselor (Professional)
1329 AMMON PARK DR
AMMON, ID 83406
Bonneville County (208) 569-8599
LAUREN JESSICA JENSEN MSW
Counselor (Mental Health)
1329 AMMON PARK DR
AMMON, ID 83406
Bonneville County (208) 403-0135
DAWN MARIE CURETON PSYD
Psychologist (Clinical)
1329 AMMON PARK DR
AMMON, ID 83406
Bonneville County (208) 450-5308
CLEAR SKIES COUNSELING, LLC
Social Worker (Clinical)
1329 AMMON PARK DR
AMMON, ID 83406
Bonneville County (208) 534-5554
CURETON COUNSELING, LLC
Community/Behavioral Health
1329 AMMON PARK DR
AMMON, ID 83406
Bonneville County (208) 450-5308
MARY ELIZABETH JOHNSON LCSW
Social Worker
1329 AMMON PARK DR
AMMON, ID 83406
Bonneville County (208) 403-0135

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 Jessica Nickerson's NPI number?

The NPI number for Jessica Nickerson is 1467792036. It was assigned to this individual provider in the NPPES registry on February 19, 2013.

Where is Jessica Nickerson located?

Jessica Nickerson practices at 1329 Ammon Park Dr, Ammon, ID 83406. The listed phone number is (208) 534-5554.

What is Jessica Nickerson's specialty?

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

Is Jessica Nickerson enrolled in Medicare?

No. Jessica Nickerson has opted out of Medicare through February 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jessica Nickerson accept?

Health plans from PacificSource Health Plans and University of Utah Health Plans list Jessica Nickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Nickerson was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.