Individual provider · Type 1 NPI

Qurena Nichelle Nichols, LCSWA

Clinical Social Worker · Fayetteville, NC

NPI number 1417835745 Active

Practice location

5617 Ramsey St
Fayetteville, NC 28311-1423

Call (910) 483-7377 Map

Mailing address

82 Green Cypress Way
Garner, NC 27529-9247

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XPO22819 (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 1417835745

Qurena Nichelle Nichols, LCSWA's National Provider Identifier is 1417835745, issued on Aug 25, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Aug 25, 2025.