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JUSTINE NICOLE NICHOLAS NPI 1558068676


NPI Information

NPI: 1558068676
Provider Name: JUSTINE NICOLE NICHOLAS
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
131 WELLNESS DR
SUMMERSVILLE, WV
ZIP 26651
Phone: (888) 736-3229
Get Directions

Justine Nicole Nicholas is a clinical social worker in Summersville, WV. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Justine Nicole Nicholas NPI is 1558068676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

131 WELLNESS DR
SUMMERSVILLE, WV
ZIP 26651-402
Phone: (888) 736-3229
Fax: (304) 872-5415

The enumeration date for this NPI number is 2/9/2023 and was last updated on 2/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalBP00946467WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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