Individual provider · Type 1 NPI

Nicole Lake

Clinical Social Worker · Portsmouth, NH

NPI number 1285211300 Active

Practice location

67 Corporate Dr
Portsmouth, NH 03801-2847

Call (603) 610-8050 Map

Mailing address

PO Box 412503
Boston, MA 02241-2503

Other practice locations

  • 3250 Hospital Dr, Juneau, AK 99801-7808 · (907) 796-8690

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker Primary 1041C0700X5025 (NH)

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 1285211300

Nicole Lake's National Provider Identifier is 1285211300, issued on Mar 25, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portsmouth, NH. The record was last updated on Jul 26, 2024.