Individual provider · Type 1 NPI

Mary Kathryn Nicoll, LCSW

Clinical Social Worker · Yalesville, CT

NPI number 1376664722 Active

Practice location

300 Church St Ste 105
Yalesville, CT 06492-2253

Mailing address

315 N Brooksvale Rd
Cheshire, CT 06410-3336

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X002617 (CT)

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 1376664722

Mary Kathryn Nicoll, LCSW's National Provider Identifier is 1376664722, issued on Apr 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Yalesville, CT. The record was last updated on May 10, 2012.