Individual provider · Type 1 NPI

Kelcey Raye Nichols, LCSW, LCASA

Clinical Social Worker · Concord, NC

NPI number 1255810917 Active

Practice location

533 Woodard Way NW
Concord, NC 28027-0281

Mailing address

9900 Poplar Tent Rd, Ste 115, Pmb 3044
Concord, NC 28027

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X15305 (SC)
Clinical Social Worker 1041C0700X107846 (TX)
Clinical Social Worker 1041C0700X090826 (IA)
Clinical Social Worker Primary 1041C0700XC013736 (NC)

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 1255810917

Kelcey Raye Nichols, LCSW, LCASA's National Provider Identifier is 1255810917, issued on Aug 13, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Concord, NC. The record was last updated on Mar 10, 2023.