Individual provider · Type 1 NPI

Stephanie Ann Nickel

Clinical Social Worker · Portage, WI

NPI number 1629976303 Active

Practice location

111 E Mullett St
Portage, WI 53901-2325

Call (607) 742-9227 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11707-123 (WI)

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 1629976303

Stephanie Ann Nickel's National Provider Identifier is 1629976303, issued on Oct 30, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portage, WI. The record was last updated on Oct 30, 2026.