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

Mr. Adam L Nickell, LCSW

Individual provider Mental Health Counselor · NPI 1497164347

Mr. Adam L Nickell, LCSW is a Clinical Social Worker in Ammon, Idaho. Qualified in 2014, 12 years ago. Practices with Pearl Health Clinic, a 38-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
12
Licensed in
ID, UT
In the registry since
2014
Specialties on file
4
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

3270 E 17th St # 131
Ammon, ID 83406-6758
Phone: (208) 534-6568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2705 E 17th St, Ammon, ID 83406-6669 — (208) 346-7500

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW- 36181 (ID)
Mental Health Counselor Taxonomy 101YM0800X · Licence 14206814-3501 (UT)
Mental Health Counselor Taxonomy 101YM0800X · Licence LCSW-36181 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence 14206814-3501 (UT)

Record details

NPI number1497164347
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 5, 2014
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Pearl Health Clinic — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ammon