Individual provider · Type 1 NPI

Nikole Boston, LCSW

Clinical Social Worker · Shade Gap, PA

NPI number 1720599434 Active

Practice location

11891 Neelyton Rd
Shade Gap, PA 17255-9247

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XSW134830 (PA)
Clinical Social Worker Primary 1041C0700XCW019868 (PA)

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 1720599434

Nikole Boston, LCSW's National Provider Identifier is 1720599434, issued on Oct 20, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shade Gap, PA. The record was last updated on Aug 4, 2021.