MS. VIVIAN ELAINE NICKLESS LCSW
NPI 1891876629
Social Worker in North Syracuse, NY

Q: What is Vivian Nickless's NPI number?

The NPI number for Vivian Nickless is 1891876629. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Vivian Nickless's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Nickless was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment

109 NORTH MAIN ST, NORTH SYRACUSE, NY 13212(315) 452-6808(315) 452-6810 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Vivian Elaine Nickless Lcsw NPPES

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

MS. VIVIAN ELAINE NICKLESS LCSW (NPI 1891876629) is an individual social worker in North Syracuse, New York, licensed in New York (R026808) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1891876629

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. VIVIAN ELAINE NICKLESSCredential: LCSW

Location Address109 NORTH MAIN STNorth Syracuse, NY 13212

Mailing Address109 North Main StNorth Syracuse, NY 13212 · (315) 452-6808 · Fax (315) 452-6810

Phone(315) 452-6808

Fax(315) 452-6810

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateOctober 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1891876629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · R026808

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

109 NORTH MAIN ST, North Syracuse, NY 13212

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Other Identifiers 1

Medicare ID-Type UnspecifiedIA0648NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Vivian Elaine Nickless Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931175601

PECOS Enrollment IDI20040903000250, I20161212001567

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Vivian Nickless's NPI number?

The NPI number for Vivian Nickless is 1891876629. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Vivian Nickless located?

Vivian Nickless practices at 109 North Main St, North Syracuse, NY 13212. The listed phone number is (315) 452-6808.

What is Vivian Nickless's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Vivian Nickless enrolled in Medicare?

Yes. Vivian Nickless is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vivian Nickless accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Vivian Nickless 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 Vivian Nickless was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.