NICOLE SOUTHARD MSW
NPI 1316036734
Social Worker - Clinical in Yakima, WA

Q: What is Nicole Southard's NPI number?

The NPI number for Nicole Southard is 1316036734. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Nicole Southard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Southard was last updated on July 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 12, 2006

402 S 4TH AVE, YAKIMA, WA 98902(509) 575-4084 Get Directions Write a Review

NPPES record last updated: July 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole Southard Msw NPPES

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

NICOLE SOUTHARD MSW (NPI 1316036734) is an individual clinical provider in Yakima, Washington, licensed in Washington (LW00006282) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1316036734

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE SOUTHARDCredential: MSW

Location Address402 S 4TH AVEYakima, WA 98902-3546

Mailing AddressPo Box 959Yakima, WA 98907-0959 · (509) 575-4084

Phone(509) 575-4084

Sole ProprietorNo

Enumeration DateOctober 12, 2006

Last NPPES UpdateJuly 20, 2010

✔ NPI 1316036734 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 WA · LW00006282

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.

402 S 4TH AVE, Yakima, WA 98902

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Other Identifiers 2

Medicare ID-Type Unspecified195507WA

Medicaid8529695WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN SULLIVAN

Counselor (Mental Health)