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

MS. Vivian Elaine Nickless, LCSW

Individual provider Social Worker · NPI 1891876629

MS. Vivian Elaine Nickless, LCSW is a Clinical Social Worker in North Syracuse, New York. Qualified in 1981, 45 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
45
Licensed in
NY
In the registry since
2006
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

109 N Main St
North Syracuse, NY 13212
Phone: (315) 452-6808
Fax: (315) 452-6810
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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 R026808 (NY)

Record details

NPI number1891876629
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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