Individual provider · Type 1 NPI

Karl Nicolaev

Clinical Social Worker · Miami Lakes, FL

NPI number 1174460216 Active

Practice location

15935 NW 57th Ave
Miami Lakes, FL 33014-6703

Call (786) 801-7577 Map

Mailing address

2100 Sans Souci Blvd Apt 711
North Miami, FL 33181-3024

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW20122 (FL)

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 1174460216

Karl Nicolaev's National Provider Identifier is 1174460216, issued on Apr 29, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Miami Lakes, FL. The record was last updated on Apr 29, 2026.