Individual provider · Type 1 NPI

Stacey Nickerson

Peer Specialist · Greensboro, NC

NPI number 1679239974 Active

Practice location

2031 Martin Luther King Jr Dr Ste D
Greensboro, NC 27406-3300

Call (336) 588-8268 Map

Mailing address

3716 Lynhaven Dr
Greensboro, NC 27406-5733

Other practice locations

  • 301 S Elm St Ste 426, Greensboro, NC 27401-2675 · (336) 383-6498

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XHC6258 (NC)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

3 other providers at this address

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About NPI 1679239974

Stacey Nickerson's National Provider Identifier is 1679239974, issued on Nov 10, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Greensboro, NC. The record was last updated on Oct 6, 2025.