Individual provider · Type 1 NPI

Nicole Parks, SWT

Clinical Social Worker · Fairfield, OH

NPI number 1407649130 Active

Practice location

1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205

Call (888) 830-0347 Map

Mailing address

87B N Beverwyck Rd Apt 19
Lake Hiawatha, NJ 07034-2211

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS.2504730-TRNE (OH)

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 1407649130

Nicole Parks, SWT's National Provider Identifier is 1407649130, issued on May 26, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfield, OH. The record was last updated on Jan 29, 2026.