Individual provider · Type 1 NPI

Hannah Nystrom

Clinical Social Worker · Nicholasville, KY

NPI number 1104722701 Active

Practice location

1115 Ashgrove Rd
Nicholasville, KY 40356-9202

Call (859) 523-3001 Map

Mailing address

2473 Lancaster Rd
Richmond, KY 40475-8809

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1104722701

Hannah Nystrom's National Provider Identifier is 1104722701, issued on Oct 19, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Nicholasville, KY. The record was last updated on Oct 19, 2026.