Individual provider · Type 1 NPI

Nicky Underwood, LCSW

Clinical Social Worker · Beaumont, TX

NPI number 1245770197 Active

Practice location

3610 Stagg Dr
Beaumont, TX 77701-3713

Call (409) 730-4700 Map

Fax (409) 730-4701

Mailing address

1941 East Rd
Houston, TX 77054-6010

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X59986 (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 1245770197

Nicky Underwood, LCSW's National Provider Identifier is 1245770197, issued on Feb 26, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Beaumont, TX. The record was last updated on Apr 20, 2017.