MS. Carol J Sutherland Nickerson, LICSWBCD
MS. Carol J Sutherland Nickerson, LICSWBCD is a Clinical Social Worker in Harwich, Massachusetts. Qualified in 1991, 35 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.
- Years since qualifying
- 35
- Licensed in
- MA
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
915 Route 28Harwich, MA 02645-3448
Phone: (508) 432-5640
Fax: (508) 432-5659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 1023047 (MA) |
|---|---|
| Psychologist | Taxonomy 103T00000X · Licence 1023047 (MA) |
Record details
| NPI number | 1548244254 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICSWBCD |
| Sole proprietor | Yes |
| NPI enumerated | December 6, 2005 |
| Last updated in NPPES | February 3, 2009 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 1991 (35 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |