Individual provider · Type 1 NPI

Bonnie Nicholls, LCSW

Clinical Social Worker · Broken Arrow, OK

NPI number 1891260782 Active

Practice location

860 S Aspen Ave
Broken Arrow, OK 74012-4803

Mailing address

25547 Murphy Ct
Claremore, OK 74019-4503

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6486 (OK)

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 1891260782

Bonnie Nicholls, LCSW's National Provider Identifier is 1891260782, issued on Oct 8, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Broken Arrow, OK. The record was last updated on Oct 8, 2018.