Individual provider · Type 1 NPI

Justine Nicole Nicholas

Clinical Social Worker · Summersville, WV

NPI number 1558068676 Active

Practice location

131 Wellness Dr
Summersville, WV 26651-5402

Call (888) 736-3229 Map

Fax (304) 872-5415

Other practice locations

  • 70 Parcoal Rd, Webster Springs, WV 26288-9767 · (888) 736-3229
  • 704 3rd Ave, Marlinton, WV 24954-1142 · (888) 736-3229
  • 804 Industrial Park Rd, Maxwelton, WV 24957-8066 · (888) 736-3229

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XBP00946467 (WV)

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 1558068676

Justine Nicole Nicholas's National Provider Identifier is 1558068676, issued on Feb 9, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Summersville, WV. The record was last updated on Oct 28, 2026.