| NPI | 1053560573 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-09-09 |
| Last Updated | 2017-01-19 |
| Mailing Address | 601 S Prospect Ave, Unit 306 Redondo Beach, CA 90277-4456 United States Phone: (310) 793-6360 📍 View Map |
| Primary Practice Address | 923 S Catalina Ave Redondo Beach, CA 90277-4718 United States Phone: (310) 792-5454 | Fax: (310) 792-5463 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 1053560573 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 225400000X – Rehabilitation Practitioner | — | — |
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About NPI 1053560573
Molly Beth Nickerson MSW, ACSW is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053560573. The primary specialty listed is Rehabilitation Practitioner. The provider is located in Redondo Beach, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-09-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053560573?
NPI 1053560573 belongs to Molly Beth Nickerson MSW, ACSW, a Rehabilitation Practitioner in Redondo Beach, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053560573 active?
The current status of NPI 1053560573 in the NPPES registry is Active. The record was last updated on 2017-01-19.
What specialty is NPI 1053560573?
NPI 1053560573 is classified under the taxonomy Rehabilitation Practitioner. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053560573?
You can verify NPI 1053560573 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053560573?
The primary practice address on file for NPI 1053560573 is 923 S Catalina Ave, Redondo Beach, CA 90277-4718. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053560573 issued?
NPI 1053560573 was first issued (enumerated) on 2008-09-09. The NPPES record was last updated on 2017-01-19.
Practice Location Map
Molly Beth Nickerson is located at 923 S Catalina Ave, Redondo Beach, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Molly Beth Nickerson. All records sourced from the CMS NPPES registry.