Individual provider · Type 1 NPI

Bailey Alexis Nickell

Clinical Social Worker · Ontario, CA

NPI number 1801485024 Active

Practice location

4688 Ontario Mills Pkwy
Ontario, CA 91764-5104

Call (714) 834-1111 Map

Mailing address

10761 Stamfield Dr
Rancho Cucamonga, CA 91730-6606

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Clinical Social Worker Primary 1041C0700X117028 (CA)

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 1801485024

Bailey Alexis Nickell's National Provider Identifier is 1801485024, issued on Jan 12, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ontario, CA. The record was last updated on May 1, 2024.