Individual provider · Type 1 NPI

Carol Nichols, LICSW, PhD

Clinical Social Worker · West Springfield, MA

NPI number 1700179074 Active

Practice location

103 Myron St, Suite A
West Springfield, MA 01089-1598

Mailing address

51 Barnard Rd
Marlborough, MA 01752-1543

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X102585 (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 1700179074

Carol Nichols, LICSW, PhD's National Provider Identifier is 1700179074, issued on May 19, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Springfield, MA. The record was last updated on May 19, 2011.