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Active NPI 1184751521 Individual Practitioner Male Practitioner

John W Nickisson , LMSW, CAADC

Social Worker - Clinical • Big Rapids, MI

Professional Overview & Biography Verified Profile Summary

John Nickisson, LMSW, CAADC is a registered healthcare professional specializing in Social Worker - Clinical in Big Rapids, MI. Practice services are available at 18554 NORTHLAND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18554 Northland Dr

Big Rapids, MI 493078788

Telephone 2313496111
Fax 2317966280

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Big Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
50 Specialists

Practicing in Big Rapids, MI (18166 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License MI 6801087785

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License MI 2-00774

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Chris Paholak , CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1063171346

Certified Alcohol and Drug Counselor

NPI 1821219882

PHDLMSWACSWDAPA

Theresa Ruelle , LMSW

Social Worker - Clinical

NPI 1821299769

Licensed Master Social Worker

Dr. Susan Fowler , PsyD

Psychologist - Clinical

NPI 1881738276

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 06, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2012

Registered at 18554 NORTHLAND DR, BIG RAPIDS, MI 493078788 (Tel: 2313496111)

📍
Updated Business Mailing Address November 06, 2012

Registered at 18554 NORTHLAND DR, BIG RAPIDS, MI 493078788 (Tel: 2313496111)

👤
Provider Name / Credentials Updated November 06, 2012

Recorded as JOHN NICKISSON, LMSW, CAADC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2012

Counselor (License #2-00774 in MI)

🟢
Initial NPI Registration & Enumeration February 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184751521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2007
Last Update: November 06, 2012
Sole Proprietor: Yes

Mailing Address

18554 Northland Dr

Big Rapids, MI 493078788

Phone: 2313496111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.