Search › Idaho › 1041C0700X
Adam Nickell, LCSW
NPI 1497164347 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3270 E 17th St # 131
Ammon, ID 83406 - Phone
- (208) 534-6568
Additional practice sites
- 2705 E 17th St, Ammon, ID
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
101YM0800X
1041C0700X - Licence states on file
- UT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho