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

Individual provider Clinical Social Worker · NPI 1679170575

Wendy Diane Nickerson, LCSW is a Clinical Social Worker in San Diego, California. Qualified in 2017, 9 years ago. Practices with Delaware County Professional Services, Inc, a 275-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2020
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

3031 Curlew St
San Diego, CA 92103-5535
Phone: (610) 256-7321
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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 CW021228 (PA)

Record details

NPI number1679170575
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 4, 2020
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Delaware County Professional Services, Inc — 275 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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