Individual provider · Type 1 NPI

Nicole Wolters

Clinical Social Worker · Normal, IL

NPI number 1457940140 Active

Practice location

1100 Beech St, Building 7 Suite 7
Normal, IL 61761-4616

Mailing address

1202 Maplewood Dr
Normal, IL 61761-3937

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1457940140

Nicole Wolters's National Provider Identifier is 1457940140, issued on Jan 16, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Normal, IL. The record was last updated on Apr 25, 2022.