NICOLE ANITA SOUTH
NPI 1033072491
Social Worker - Clinical in Brooklyn, NY

Active since December 03, 2025
963 E 55TH ST, BROOKLYN, NY 11234(347) 729-6607 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Anita South NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ANITA SOUTH (NPI 1033072491) is an individual clinical provider in Brooklyn, New York, licensed in Illinois (149.030658) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1033072491
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE ANITA SOUTH
Location Address963 E 55TH STBrooklyn, NY 11234-1707
Mailing Address963 E 55th StBrooklyn, NY 11234-1707 · (347) 729-6607
Sole ProprietorNo
Enumeration DateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
NPI 1033072491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149.030658
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
963 E 55TH ST, Brooklyn, NY 11234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole South's NPI number?

The NPI number for Nicole South is 1033072491. It was assigned to this individual provider in the NPPES registry on December 3, 2025.

Where is Nicole South located?

Nicole South practices at 963 E 55th St, Brooklyn, NY 11234. The listed phone number is (347) 729-6607.

What is Nicole South's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Nicole South was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.