Nicole Phillips, MSW, LICSW
Social Worker, Clinical in Somerville, MA. Individual provider (NPI-1).
NPI number1093596751
StatusActive
Last updated in NPPESMar 25, 2026
Details
- NPI
- 1093596751
- Entity type
- Individual (NPI-1)
- Name
- Nicole Phillips
- Credential
- MSW, LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2023
- Certification date
- Mar 25, 2026
- Last updated
- Mar 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LICSW1141431 | MA | Yes |
| 1041C0700X | Social Worker, Clinical | 229960 | MA | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LICSW1141431 | MA | |
| 101YM0800X | Counselor, Mental Health | LICSW1141431 | MA |
Practice location
485 Foley St Unit 1611Somerville, MA 02145-1314
Phone 617-468-6939
Mailing address
485 Foley St Unit 1611Somerville, MA 02145-1314
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