Individual provider · Type 1 NPI

Nicole Siegel, LCSW, LCDC

Clinical Social Worker · Southlake, TX

NPI number 1194134528 Active

Practice location

2485 E Southlake Blvd Ste 180
Southlake, TX 76092-6687

Call (682) 593-1272 Map

Fax (817) 488-9697

Mailing address

4142 Petersburg Dr
Fort Worth, TX 76244-4373

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X11330 (TX)
Clinical Social Worker Primary 1041C0700X57444 (TX)

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 1194134528

Nicole Siegel, LCSW, LCDC's National Provider Identifier is 1194134528, issued on Aug 11, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southlake, TX. The record was last updated on Apr 26, 2017.