Individual provider · Type 1 NPI
Mike Lyle Nicholson, B.S.
Clinical Social Worker · Bellingham, WA
Practice location
1616 Cornwall Ave Ste 205
Bellingham, WA 98225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LW60717124 (WA) |
| Social Worker | 104100000X | LW60717124 (WA) |
| Clinical Social Worker Primary | 1041C0700X | LW60717124 (WA) |
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 1184808701
Mike Lyle Nicholson, B.S.'s National Provider Identifier is 1184808701, issued on Dec 18, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bellingham, WA. The record was last updated on Aug 8, 2018.