Individual provider · Type 1 NPI

Nicole Woller, PhD, LCSW

Clinical Social Worker · Belleview, FL

NPI number 1881735819 Active

Practice location

5818 SE Agnew Rd
Belleview, FL 34420-4020

Fax (561) 892-0268

Mailing address

2735 SE 140th Pl
Summerfield, FL 34491-2877

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Cognitive & Behavioral Psychologist 103TB0200XNone listed
Forensic Psychologist 103TF0200XNone listed
Clinical Social Worker Primary 1041C0700XSW8553 (FL)

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…

4 other providers at this address

About NPI 1881735819

Nicole Woller, PhD, LCSW's National Provider Identifier is 1881735819, issued on Feb 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Belleview, FL. The record was last updated on Apr 22, 2020.