Mark Nickerson, LICSW
NPI 1336159615ActiveIndividual· Counselor, Mental Health· Amherst, MA
Counselor, Mental Health (LICSW) in Amherst, Massachusetts, licensed in MA, with an NPI issued in August 2006. Medicare paid $24,617 for services to 16 patients in 2024.
Overview
| NPI | 1336159615 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Aug 9, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 104628 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 281 across 1 procedure code |
| Paid by Medicare | $24,617 |
Education and affiliations
| Graduation year | 1980 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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