Individual provider · Type 1 NPI

Nicole Therese Gantney, ASW, MSW, PPSC

Clinical Social Worker · Eureka, CA

NPI number 1053257964 Active

Practice location

624 Harris St
Eureka, CA 95503-4448

Fax (707) 445-6124

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X379038 (CA)

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 1053257964

Nicole Therese Gantney, ASW, MSW, PPSC's National Provider Identifier is 1053257964, issued on Apr 24, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eureka, CA. The record was last updated on Apr 24, 2026.