Individual provider · Type 1 NPI

Nicole E. Buddle-Diaz, LCSW

Clinical Social Worker · Alpharetta, GA

NPI number 1407158165 Active

Practice location

2300 Lakeview Pkwy Ste 700
Alpharetta, GA 30009-9066

Call (678) 699-6208 Map

Fax (678) 916-3810

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCAP 3256 (FL)
Clinical Social Worker 1041C0700XSW6986 (FL)
Clinical Social Worker Primary 1041C0700XCSW004130 (GA)

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 1407158165

Nicole E. Buddle-Diaz, LCSW's National Provider Identifier is 1407158165, issued on Nov 30, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Alpharetta, GA. The record was last updated on May 6, 2020.