Individual provider · Type 1 NPI

Melissa Sue Nichols

Clinical Social Worker · Hyde Park, UT

NPI number 1396006003 Active

Practice location

338 W 300 N
Hyde Park, UT 84318-4044

Fax (435) 535-3197

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8957395-3502 (UT)

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 1396006003

Melissa Sue Nichols's National Provider Identifier is 1396006003, issued on May 30, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hyde Park, UT. The record was last updated on Jul 1, 2026.