Individual provider · Type 1 NPI

Nicole Vance, ASW101772

Clinical Social Worker · Eureka, CA

NPI number 1619710092 Active

Practice location

1620 Allard Ave Apt A
Eureka, CA 95503-5780

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700X101772 (CA)

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 1619710092

Nicole Vance, ASW101772's National Provider Identifier is 1619710092, issued on Jun 14, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eureka, CA. The record was last updated on Jun 14, 2024.