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

Individual provider Clinical Social Worker · NPI 1093526345

Nickosha Alisa Wayne, LCSW is a Clinical Social Worker in Bronx, New York. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
4
Licensed in
NY
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

4223 Seton Ave
Bronx, NY 10466-2119
Phone: (347) 638-1002
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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 103162 (NY)

Record details

NPI number1093526345
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 16, 2025
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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