Individual provider · Type 1 NPI
Nicole Domine, LICSW
Clinical Social Worker · Fargo, ND
Practice location
4357 13th Ave S Ste 104
Fargo, ND 58103-7504
Fax (701) 478-4481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 23025 (MN) |
| Clinical Social Worker Primary | 1041C0700X | 5293 (ND) |
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…
3 other providers at this address
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About NPI 1396280954
Nicole Domine, LICSW's National Provider Identifier is 1396280954, issued on Jan 5, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fargo, ND. The record was last updated on Nov 22, 2024.