Individual provider · Type 1 NPI

Stephanie Blackett Nichols, LCSW

Clinical Social Worker · Augusta, GA

NPI number 1053704072 Active

Practice location

3540 Wheeler Rd, Suite 619
Augusta, GA 30909-1871

Call (706) 733-0333 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW005084 (GA)

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 1053704072

Stephanie Blackett Nichols, LCSW's National Provider Identifier is 1053704072, issued on Mar 16, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Augusta, GA. The record was last updated on Jun 11, 2015.