LOGAN RENE NICKERSON CADC
NPI 1487465704
Counselor - Addiction (Substance Use Disorder) in Dover, DE

Q: What is Logan Nickerson's NPI number?

The NPI number for Logan Nickerson is 1487465704. It was assigned to this individual provider in the NPPES registry on January 16, 2025.

Q: What is Logan Nickerson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Logan Nickerson was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 16, 2025

103 WOLF CREEK BLVD STE 2&3, DOVER, DE 19901(302) 744-8474 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Logan Rene Nickerson Cadc NPPES

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

LOGAN RENE NICKERSON CADC (NPI 1487465704) is an individual addiction (substance use disorder) provider in Dover, Delaware, licensed in Delaware (2346) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1487465704

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameLOGAN RENE NICKERSONCredential: CADC

Location Address103 WOLF CREEK BLVD STE 2&3Dover, DE 19901-4967

Mailing Address114 Logan DrDover, DE 19901-1583 · (302) 505-0384

Phone(302) 744-8474

Sole ProprietorNo

Enumeration DateJanuary 16, 2025

NPPES CertifiedJanuary 16, 2025

✔ NPI 1487465704 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

License✔ Licensed in DE · 2346

103 WOLF CREEK BLVD STE 2&3, Dover, DE 19901

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Other Providers at the Same Location NPPES

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

SYNERGY RECOVERY SOLUTIONS

Counselor (Mental Health)

103 WOLF CREEK BLVD STE 2&3
DOVER, DE 19901

Kent County (302) 603-5607

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 Logan Nickerson's NPI number?

The NPI number for Logan Nickerson is 1487465704. It was assigned to this individual provider in the NPPES registry on January 16, 2025.

Where is Logan Nickerson located?

Logan Nickerson practices at 103 Wolf Creek Blvd Ste 2&3, Dover, DE 19901. The listed phone number is (302) 744-8474.

What is Logan 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 Logan Nickerson was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.