YVONNE NICKERSON LICSW LLC
NPI 1932772340
Social Worker - Clinical in Plymouth, MA
About Yvonne Nickerson Licsw Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YVONNE NICKERSON LICSW LLC (NPI 1932772340) is a healthcare organization registered as a clinical in Plymouth, Massachusetts and active in the NPI registry since July 2021. The organization lists Yvonne C.f. Nickerson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yvonne Nickerson Licsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Yvonne Nickerson Licsw LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Yvonne Nickerson Licsw LLC's NPI number?
The NPI number for Yvonne Nickerson Licsw LLC is 1932772340. It was assigned to this organization in the NPPES registry on July 22, 2021.
Where is Yvonne Nickerson Licsw LLC located?
Yvonne Nickerson Licsw LLC is located at 100 Long Pond Rd, Plymouth, MA 02360. The listed phone number is (508) 524-8511.
What is Yvonne Nickerson Licsw LLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Yvonne Nickerson Licsw LLC enrolled in Medicare?
Yes. Yvonne Nickerson Licsw LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Yvonne Nickerson Licsw LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Yvonne Nickerson Licsw LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Yvonne Nickerson Licsw LLC was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Yvonne Nickerson Licsw Llc · NPI 1932772340
Clinical organization in Plymouth, Massachusetts. Organization record, active in the CMS NPPES registry since July 22, 2021.
## Identity
- **NPI:** 1932772340 (Entity type: Organization)
- **Enumerated:** July 22, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Yvonne Nickerson, OWNER
## Practice location
- **Address:** 100 LONG POND RD, Plymouth, MA 02360-9998
- **Phone:** (508) 524-8511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1932772340) · Data from the CMS NPPES public registry.