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NICOLE LERAE VARKONDA LISW
NPI 1093236010
Social Worker - Clinical in Plymouth, OH

Active since June 29, 2017
4181 TOWNLINE ROAD 111, PLYMOUTH, OH 44865(419) 571-2482 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 29, 2017 (2 updates tracked since 2017).

About Nicole Lerae Varkonda Lisw NPPES

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

NICOLE LERAE VARKONDA LISW (NPI 1093236010) is an individual clinical provider in Plymouth, Ohio, licensed in Ohio (I.1600725) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1093236010
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE LERAE VARKONDACredential: LISW
Location Address4181 TOWNLINE ROAD 111Plymouth, OH 44865
Mailing Address4181 Townline 111Plymouth, OH 44865-9684 · (419) 571-2482
Phone(419) 571-2482
Sole ProprietorYes
Enumeration DateJune 29, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1093236010 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 OH · I.1600725
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.
4181 TOWNLINE ROAD 111, Plymouth, OH 44865
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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 Varkonda's NPI number?

The NPI number for Nicole Varkonda is 1093236010. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Nicole Varkonda located?

Nicole Varkonda practices at 4181 Townline Road 111, Plymouth, OH 44865. The listed phone number is (419) 571-2482.

What is Nicole Varkonda'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 Varkonda was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.