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

Jessica Nickerson, LCSW

Individual provider Clinical Social Worker · NPI 1467792036

Jessica Nickerson, LCSW is a Clinical Social Worker in Ammon, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

1329 Ammon Park Dr
Ammon, ID 83406-4591
Phone: (208) 534-5554
Fax: (208) 534-5580
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-34184 (ID)

Record details

NPI number1467792036
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 19, 2013
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023

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