Individual provider · Type 1 NPI

Nicole Pelletier, LICSW

Clinical Social Worker · Fort Collins, CO

NPI number 1639465123 Active

Practice location

155 W Harvard St, Suite 201
Fort Collins, CO 80525-5200

Call (970) 266-8644 Map

Fax (970) 267-8645

Mailing address

PO Box 273331
Fort Collins, CO 80527-3331

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X116969 (MA)
Clinical Social Worker Primary 1041C0700XCSW.09923836 (CO)

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 1639465123

Nicole Pelletier, LICSW's National Provider Identifier is 1639465123, issued on Jun 22, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Collins, CO. The record was last updated on Jan 12, 2016.