Individual provider · Type 1 NPI

Katrina Mary Nichols, LICSW

Clinical Social Worker · Brewster, MA

NPI number 1659864890 Active

Practice location

456 Flax Pond Rd
Brewster, MA 02631-2133

Mailing address

237 Old Mill Rd
Marstons Mills, MA 02648-1054

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XISW02639 (RI)
Clinical Social Worker Primary 1041C0700X121724 (MA)

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 1659864890

Katrina Mary Nichols, LICSW's National Provider Identifier is 1659864890, issued on Jun 12, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brewster, MA. The record was last updated on Sep 13, 2019.