Individual provider · Type 1 NPI
Nicole Lerae Varkonda, LISW
Clinical Social Worker · Plymouth, OH
Practice location
4181 Townline Road 111
Plymouth, OH 44865
Mailing address
4181 Townline 111
Plymouth, OH 44865-9684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | I.1600725 (OH) |
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…
About NPI 1093236010
Nicole Lerae Varkonda, LISW's National Provider Identifier is 1093236010, issued on Jun 29, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plymouth, OH. The record was last updated on Jul 21, 2022.