Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CONNOR NICKERSON LCSW
NPI 1790690204
Social Worker - Clinical in Grapevine, TX

Active since August 18, 2026
501 TURNER RD, GRAPEVINE, TX 76051(817) 694-9818 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Connor Nickerson Lcsw NPPES

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

CONNOR NICKERSON LCSW (NPI 1790690204) is an individual clinical provider in Grapevine, Texas, licensed in Texas (111661) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1790690204
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCONNOR NICKERSONCredential: LCSW
Location Address501 TURNER RDGrapevine, TX 76051-7237
Mailing Address501 Turner Rd Apt 1018Grapevine, TX 76051-7259 · (817) 694-9818
Sole ProprietorYes
Enumeration DateAugust 18, 2026
NPPES CertifiedAugust 18, 2026
NPI 1790690204 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 TX · 111661
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.
501 TURNER RD, Grapevine, TX 76051

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 Connor Nickerson's NPI number?

The NPI number for Connor Nickerson is 1790690204. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Where is Connor Nickerson located?

Connor Nickerson practices at 501 Turner Rd, Grapevine, TX 76051. The listed phone number is (817) 694-9818.

What is Connor Nickerson's specialty?

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

When was this NPI record last updated?

The NPPES record for Connor Nickerson was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.