David L. Nickelson, M.S.W., L.C.S.W.
Social Worker, Clinical in Concord, NC. Individual provider (NPI-1).
NPI number1619081486
StatusActive
Last updated in NPPESAug 6, 2019
Details
- NPI
- 1619081486
- Entity type
- Individual (NPI-1)
- Name
- David L. Nickelson
- Credential
- M.S.W., L.C.S.W.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2006
- Last updated
- Aug 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C001740 | NC | Yes |
Practice location
101 Cabarrus Ave E Ste 200Concord, NC 28025-3781
Phone 888-849-7379 · Fax 855-857-7333
Mailing address
101 Cabarrus Ave E Ste 200Concord, NC 28025-3781
Phone 888-849-7379 · Fax 855-857-7333
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