Lynda Kaye Nickle is a Clinical in Sparta, Missouri. Lynda Kaye Nickle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lynda Kaye Nickle is 1417178906. The last update date is 2022-08-18.
Lynda Kaye Nickle's current location address is 155 Village Dr, Sparta, Missouri. You can contact this provider via phone number 4176344203 and fax number 4176344505. The mailing address for Lynda Kaye Nickle is 155 Village Dr, Sparta, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynda Kaye Nickle |
|---|---|
| Address | 155 Village Dr, Sparta, Missouri |
| Phone Number | 4176344203 |
| Fax Number | 4176344505 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417178906 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2022-08-18 |
Provider Mailing Address Detail
| Address | 155 Village Dr |
|---|---|
| City | Sparta |
| State | Missouri (MO) |
| Post Code | 657538104 |
| Phone Number | 4176344203 |
| Fax Number | 4176344505 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2832 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Lynda Kaye Nickle's 1417178906?
The Lynda Kaye Nickle's NPI (National Provider Identifier) Number is 1417178906. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lynda Kaye Nickle?
The Lynda Kaye Nickle is situated at 155 Village Dr, in the city of Sparta, state of MO, with the zip code 657538104.
What is Lynda Kaye Nickle's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lynda Kaye Nickle is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When was the Lynda Kaye Nickle's 1417178906 issued?
The Lynda Kaye Nickle's 1417178906 was issued on 2007-05-01.
When was the information related to Lynda Kaye Nickle most recently updated or refreshed?
The details pertaining to the Lynda Kaye Nickle, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-08-18.