Individual provider · Type 1 NPI

Lyssa Nickle, L.C.S.W.

Clinical Social Worker · Valdosta, GA

NPI number 1821480799 Active

Practice location

3021 Schroer Dr
Valdosta, GA 31602-4067

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW004376 (GA)

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 1821480799

Lyssa Nickle, L.C.S.W.'s National Provider Identifier is 1821480799, issued on Mar 2, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Valdosta, GA. The record was last updated on Mar 2, 2015.