Justine Nicole Nicholas
Social Worker, Clinical in Summersville, WV. Individual provider (NPI-1).
NPI number1558068676
StatusActive
Last updated in NPPESOct 28, 2026
Details
- NPI
- 1558068676
- Entity type
- Individual (NPI-1)
- Name
- Justine Nicole Nicholas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2023
- Certification date
- Oct 28, 2026
- Last updated
- Oct 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | BP00946467 | WV | Yes |
Other names
- Justine Nicole Nicholas (Former Name)
Practice location
131 Wellness DrSummersville, WV 26651-5402
Phone 888-736-3229 · Fax 304-872-5415
Mailing address
131 Wellness DrSummersville, WV 26651-5402
Phone 888-736-3229
Other practice locations
70 Parcoal Rd
Webster Springs, WV 26288-9767
Webster Springs, WV 26288-9767
Phone 888-736-3229 · Fax 304-847-5422
704 3rd Ave
Marlinton, WV 24954-1142
Marlinton, WV 24954-1142
Phone 888-736-3229 · Fax 304-799-6878
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Maxwelton, WV 24957-8066
Phone 888-736-3229 · Fax 304-497-0516
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Other Clinical Social Worker providers in Summersville, WV
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All 8 Clinical Social Worker providers in Summersville · All 776 providers in Summersville
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