Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dwayne Nickerson

Individual provider Marriage & Family Therapist · NPI 1780011437

Dwayne Nickerson is a Marriage and Family Therapist in Riverside, California. Qualified in 2013, 13 years ago. Practices as a sole proprietor, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

4193 Flat Rock Dr Ste 200
Riverside, CA 92505-7113
Phone: (805) 242-4851
Fax: (951) 329-5800
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 3787 S Vermont Ave, Los Angeles, CA 90007-4203 — (323) 766-2345
  • 301 S Miller St Ste 112, Santa Maria, CA 93454 — (805) 361-0118
  • 301 S Miller St Ste 112, Santa Maria, CA 93454 — (805) 361-0118
  • 301 S Miller St Ste 121, Santa Maria, CA 93454 — (310) 897-0140

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT96210 (CA)
Marriage & Family Therapist Taxonomy 106H00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1780011437
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 26, 2013
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Riverside