Search › Washington › 1041C0700X
Nicole Small, MSW, LICSW
NPI 1417072356 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1005 S 3rd St
Mount Vernon, WA 98273 - Phone
- (360) 419-3612
- Fax
- (360) 419-3605
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
1041S0200X
101Y00000X
1041S0200X - Licence states on file
- CA, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington