Individual provider · Type 1 NPI

Nicole Renee Forde, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1376870667 Active

Practice location

2633 West Blvd
Charlotte, NC 28208-6705

Call (704) 521-4977 Map

Mailing address

3520 Eastover Ridge Dr, Apt. 1104
Charlotte, NC 28211-1576

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XSW9299 (FL)
Clinical Social Worker Primary 1041C0700XC008252 (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 1376870667

Nicole Renee Forde, LCSW's National Provider Identifier is 1376870667, issued on Nov 8, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on May 12, 2014.