Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN NICKELSON
Active Sole ProprietorAUTUMN NICKELSON is a Clinical Social Worker healthcare provider located in WOODWARD, Oklahoma. NPI 1619142767 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WOODWARD, OK
Registration Details
- NPI Number
- 1619142767
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 29, 2008 (18.25514939225 yrs)
- Last Updated
- Nov 30, 2016
- License
-
3847 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1222 10TH STREET, SUITE 211NORTHWEST CENTER FOR BEHAVIORAL HEALTHWOODWARD, OK, 73801Browse OK providers · Browse ZIP 73801
- Phone
- 5805713231
- Fax
- 5805718609
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Marriage & Family Therapist
Other Clinical Social Worker Providers in WOODWARD, OK
| Name | Credential | NPI |
|---|---|---|
| MS. AUDRY ELLEN HALDAMAN | LCSW | 1316056997 |
| LEAH BRADY | MSW | 1346649761 |
| JONATHAN CARL WALES | MSW, LCSW | 1235743188 |
| RACHAEL BAEZA | — | 1093316051 |
| CHANEL MEINDERS | LCSW | 1275374993 |
| KAILYNN MARTIN | — | 1710712245 |
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.