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

Nikki Neudecker

Individual provider Behavior Technician · NPI 1649818527

Nikki Neudecker is a Clinical Social Worker in Hamilton, Ohio. Qualified in 2022, 4 years ago. Practices with Modern Psychiatry and Wellness LLC, a 24-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1910 Fairgrove Ave Ste E
Hamilton, OH 45011-1930
Phone: (513) 494-4679
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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 I.2506236 (OH)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1649818527
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2019
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025
Mailing address1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930

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)
Group practice Modern Psychiatry And Wellness Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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