Individual provider · Type 1 NPI

Edna Chism Nicholas

Clinical Social Worker · Fort Worth, TX

NPI number 1073933669 Active

Practice location

3309 Winthrop Ave, 90
Fort Worth, TX 76116-5614

Call (214) 886-4872 Map

Mailing address

8628 Paper Birch Ln
Fort Worth, TX 76123-5058

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X12258 (TX)
Clinical Social Worker Primary 1041C0700X55023 (TX)

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 1073933669

Edna Chism Nicholas's National Provider Identifier is 1073933669, issued on Apr 22, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 22, 2024.