Individual provider · Type 1 NPI

Kristen Busico Nichols

Clinical Social Worker · Taylorsville, UT

NPI number 1710404702 Active

Practice location

5667 S Redwood Rd Unit 6B
Taylorsville, UT 84123-5495

Call (801) 979-1351 Map

Other practice locations

  • 2513 S Dearborn St, Salt Lake City, UT 84106 · (801) 520-5967

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 1710404702

Kristen Busico Nichols's National Provider Identifier is 1710404702, issued on Aug 29, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Taylorsville, UT. The record was last updated on Mar 17, 2018.