Individual provider · Type 1 NPI

Fallyn Joan Nicholson, MSW, LICSW

Clinical Social Worker · Virginia, MN

NPI number 1720878192 Active

Practice location

624 13th St S
Virginia, MN 55792-3149

Call (218) 749-2881 Map

Mailing address

44714 State Highway 65
Nashwauk, MN 55769-4464

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27732 (MN)

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 1720878192

Fallyn Joan Nicholson, MSW, LICSW's National Provider Identifier is 1720878192, issued on May 8, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Virginia, MN. The record was last updated on May 8, 2025.