Individual provider · Type 1 NPI
Nicholas Fetzer
Clinical Social Worker · New York, NY
Practice location
928 Broadway
New York, NY 10010-6008
Mailing address
2817 Northfield Rd
Charlottesville, VA 22901-1236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 101095 (NY) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1023596152
Nicholas Fetzer's National Provider Identifier is 1023596152, issued on Jul 31, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jan 23, 2026.