Individual provider · Type 1 NPI

Nicole Marie Liedtke, LCSW, LCAC

Clinical Social Worker · Fishers, IN

NPI number 1740505460 Active

Practice location

14074 Trade Center Dr, Ste 220
Fishers, IN 46038-4575

Call (317) 775-7797 Map

Mailing address

3645 N Briarwood Ln, Ste A
Muncie, IN 47304-5337

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X87001005A (IN)
Clinical Social Worker Primary 1041C0700X34005950A (IN)

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 1740505460

Nicole Marie Liedtke, LCSW, LCAC's National Provider Identifier is 1740505460, issued on Apr 6, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fishers, IN. The record was last updated on Dec 10, 2020.