Nicole Lynn Mick, LMSW
Social Worker, Clinical in Kentwood, MI. Individual provider (NPI-1).
NPI number1164091567
StatusActive
Last updated in NPPESJul 14, 2026
Details
- NPI
- 1164091567
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole Lynn Mick
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2021
- Certification date
- Jul 14, 2026
- Last updated
- Jul 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801093561 | MI | Yes |
Practice location
1403 60th St SeKentwood, MI 49508-7065
Phone 616-805-3660
Mailing address
2298 Byron Shores Dr SwByron Center, MI 49315-8378
Phone 616-366-2963
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