Individual provider · Type 1 NPI

Nicaeli Grace Theobald, LCSW

Clinical Social Worker · Indianapolis, IN

NPI number 1730810342 Active

Practice location

5638 Professional Cir
Indianapolis, IN 46241-5042

Call (888) 714-1927 Map

Mailing address

5241 W 15th St
Indianapolis, IN 46224-6415

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 1730810342

Nicaeli Grace Theobald, LCSW's National Provider Identifier is 1730810342, issued on Jun 23, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 24, 2025.