Individual provider · Type 1 NPI

Carol Nickles, LCSW

Clinical Social Worker · Madison, WI

NPI number 1780138776 Active

Practice location

401 Wisconsin Ave
Madison, WI 53703-1487

Fax (608) 256-5116

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2843-123 (WI)

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 1780138776

Carol Nickles, LCSW's National Provider Identifier is 1780138776, issued on Aug 8, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Aug 8, 2016.