Individual provider · Type 1 NPI

Donna Jean Nickelberry, LICSW

Clinical Social Worker · Renton, WA

NPI number 1902266612 Active

Practice location

221 Wells Ave S
Renton, WA 98057-2161

Call (253) 833-7444 Map

Fax (253) 661-8631

Mailing address

325 W Gowe St
Kent, WA 98032-5892

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSWI.LW.00009403 (WA)

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 1902266612

Donna Jean Nickelberry, LICSW's National Provider Identifier is 1902266612, issued on Feb 24, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Renton, WA. The record was last updated on Aug 20, 2026.