Individual provider · Type 1 NPI

Edward Nichols, LCSW

Clinical Social Worker · Sidney, NY

NPI number 1669734596 Active

Practice location

22 Weir St, 3rd Floor
Sidney, NY 13838-1022

Fax (607) 563-7099

Mailing address

PO Box 2141
Sidney, NY 13838-2141

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X027557-1 (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 1669734596

Edward Nichols, LCSW's National Provider Identifier is 1669734596, issued on Jun 15, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sidney, NY. The record was last updated on Oct 11, 2012.