IndividualActive
Jennifer Nicholson, LCSW
NPI 1831286301 · Clinical Social Worker · Keesler Afb, MS
Provider details
- NPI number
- 1831286301
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- C6062 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
301 Fisher St
Keesler Afb, MS 39534-2508
Phone: (228) 376-3938
Approximate (ZIP-level) locationGet directions
Mailing address
301 Fisher St
Keesler Afb, MS 39534-2508
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2011-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.