Individual provider · Type 1 NPI

Skylar Jordan Nichols, LCSW

Clinical Social Worker · St. Louis, MO

NPI number 1093368805 Active

Practice location

1129 Macklind Ave
St. Louis, MO 63110-1440

Mailing address

6202 Arthur Ave
St. Louis, MO 63139-2017

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLC200002677 (DC)
Clinical Social Worker 1041C0700X149.024865 (IL)
Clinical Social Worker 1041C0700XLICSW125947 (MA)
Clinical Social Worker Primary 1041C0700X2022004433 (MO)

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 1093368805

Skylar Jordan Nichols, LCSW's National Provider Identifier is 1093368805, issued on Jul 20, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on May 25, 2026.