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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE REYNOLDS SMALL, MSW, LICSW

Active Sole Proprietor

NICOLE REYNOLDS SMALL, MSW, LICSW is a Clinical Social Worker healthcare provider located in MOUNT VERNON, Washington. NPI 1417072356 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MOUNT VERNON, WA

Registration Details

NPI Number
1417072356
Provider Type
Individual
Gender
Female
NPI Issued
Mar 20, 2007 (19.384325444004 yrs)
Last Updated
Jan 20, 2010
Licenses
ASW18384 (CA)
PPSC #060034254 (CA)
RC00058160 (WA)
443673R (WA)
LW 60064972 (WA)
Sole Proprietor
Yes

Practice Information

Address
1005 S 3RD ST
MOUNT VERNON, WA, 982734301
Browse WA providers · Browse ZIP 98273
Phone
3604193612
Fax
3604193605
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
School Social Worker
Additional Specialty
Counselor
Additional Specialty
School Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in MOUNT VERNON, WA

Name Credential NPI
MS. ELIZABETH FINDLEY LICSW 1245332550
PAM REFF MSW 1053418202
MARION RONALD PARADIS LICENSED SOCIAL WRKR 1316039316
DOUGLAS CHANDLER MSW 1952493306
CAROL HERZIG KRAMPETZ MSW, LICSW 1700971892
WILLIAM R JOHNSON LICSW 1568550028
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.