Individual provider · Type 1 NPI

Nicole Ryan Humphreys, LCSW

Clinical Social Worker · Patton, CA

NPI number 1154516052 Active

Practice location

3102 E. Highland Avenue, Medical Staff Office
Patton, CA 92369

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200XNone listed
Clinical Social Worker Primary 1041C0700XLCSW29557 (CA)

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 1154516052

Nicole Ryan Humphreys, LCSW's National Provider Identifier is 1154516052, issued on Sep 13, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Patton, CA. The record was last updated on Nov 17, 2016.