Individual provider · Type 1 NPI
Kelly Hannon Nichols, LCSW-R
Clinical Social Worker · Fayetteville, NY
Practice location
215 Dawley Rd
Fayetteville, NY 13066-2546
Fax (315) 637-7576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 73070425 (NY) |
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 1649640764
Kelly Hannon Nichols, LCSW-R's National Provider Identifier is 1649640764, issued on Oct 1, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NY. The record was last updated on Oct 1, 2015.