NPI 1003266206

Nichole L Jardine, LCSW

Practitioner Clinical Social Worker Tumwater, WA

Practice location

Address: 5991 Bell St SE, Tumwater, WA 98501-5355
Phone: (435) 213-3583

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LW61179889 (WA)

Other Social Worker providers in Washington →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 8977595-3501 (UT)

Registry record

NPI: 1003266206
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2016
Record last updated: 19 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.