Individual provider · Type 1 NPI

Stacey J. Nichols Ostebo, MSW, LCSW

Clinical Social Worker · Las Vegas, NV

NPI number 1194079103 Active

Practice location

9790 Southerton St
Las Vegas, NV 89178-5532

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05656600 (NJ)
Clinical Social Worker 1041C0700X8273583-3502 (UT)
Clinical Social Worker 1041C0700X8521-C (NV)

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 1194079103

Stacey J. Nichols Ostebo, MSW, LCSW's National Provider Identifier is 1194079103, issued on Oct 30, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 20, 2026.