Individual provider · Type 1 NPI

Nycolle Autimn Lfe

Clinical Social Worker · Orlando, FL

NPI number 1659056950 Active

Practice location

5768 S Semoran Blvd
Orlando, FL 32822-4818

Call (407) 896-2323 Map

Mailing address

2005 Ponderosa Ave
Winter Park, FL 32792-2063

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1659056950

Nycolle Autimn Lfe's National Provider Identifier is 1659056950, issued on Jun 15, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Orlando, FL. The record was last updated on Jun 15, 2023.