Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael M Nitkowski I, LCSW, LCADC

Individual provider Clinical Social Worker · NPI 1871467704

Michael M Nitkowski I, LCSW, LCADC is a Clinical Social Worker in Forked River, New Jersey. Qualified in 2021, 5 years ago. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

614 Lakeside Dr N
Forked River, NJ 08731-2203
Phone: (609) 879-1966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC06410000 (NJ)

Record details

NPI number1871467704
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LCADC
Sole proprietorNo
NPI enumeratedOctober 2, 2025
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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