Provider Demographics
NPI:1003609942
Name:NICCHI, HANNAH JACQUELINE (LMSW)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:JACQUELINE
Last Name:NICCHI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11762-1765
Mailing Address - Country:US
Mailing Address - Phone:203-446-1899
Mailing Address - Fax:
Practice Address - Street 1:301 2ND AVE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA PARK
Practice Address - State:NY
Practice Address - Zip Code:11762-1765
Practice Address - Country:US
Practice Address - Phone:203-446-1899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1221421041C0700X
VA09030045421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical