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Amy C Nickum, MSW

Social Worker, Clinical in Seattle, WA. Individual provider (NPI-1).

NPI number1528752425
StatusActive
Last updated in NPPESJun 5, 2023

Details

NPI
1528752425
Entity type
Individual (NPI-1)
Name
Ms. Amy C Nickum
Credential
MSW
Sex
Female
Sole proprietor
No
Enumeration date
Jun 5, 2023
Certification date
Jun 5, 2023
Last updated
Jun 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSC61428109WAYes

Practice location

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292

Phone 206-708-6432

Mailing address

8745 Greenwood Ave N Apt 209
Seattle, WA 98103-3650

Phone 503-714-8064

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