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

Mr. Phillip Craig Nissen, LCSW-C

Individual provider Clinical Social Worker · NPI 1720173180

Mr. Phillip Craig Nissen, LCSW-C is a Clinical Social Worker in Perry Point, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2006

Practice location Address checks out

1H Circle Dr
Perry Point, MD 21902 Not confirmed with CMS for 19 years — call before visiting
Phone: (410) 642-2411
Fax: (410) 642-1852
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 03563 (MD)

Record details

NPI number1720173180
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007

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