Individual provider · Type 1 NPI

Kameil Lee Nicholson, LCSW

Clinical Social Worker · Bala Cynwyd, PA

NPI number 1306293907 Active

Practice location

2 Bala Plz Ste 300
Bala Cynwyd, PA 19004-1512

Fax (267) 800-7975

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW021101 (PA)

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 1306293907

Kameil Lee Nicholson, LCSW's National Provider Identifier is 1306293907, issued on May 24, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bala Cynwyd, PA. The record was last updated on Dec 18, 2025.