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NICOLE REYNOLDS SMALL MSW, LICSW
NPI 1417072356
Social Worker - Clinical in Mount Vernon, WA

Active since March 20, 2007
1005 S 3RD ST, MOUNT VERNON, WA 98273(360) 419-3612(360) 419-3605 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Reynolds Small Msw, Licsw NPPES

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

NICOLE REYNOLDS SMALL MSW, LICSW (NPI 1417072356) is an individual clinical provider in Mount Vernon, Washington, licensed in Washington (LW 60064972) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1417072356
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE REYNOLDS SMALLCredential: MSW, LICSW
Location Address1005 S 3RD STMount Vernon, WA 98273-4301
Mailing Address1701 30th StBellingham, WA 98225-7603 · (310) 210-8662
Phone(360) 419-3612
Fax(360) 419-3605
Sole ProprietorYes
Enumeration DateMarch 20, 2007
Last NPPES UpdateJanuary 20, 2010
✔ NPI 1417072356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WA · LW 60064972✔ Licensed in CA · ASW18384
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.
Also ListedCounselorTaxonomy 101Y00000X · License RC00058160 (WA)
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License PPSC #060034254 (CA), 443673R (WA)
1005 S 3RD ST, Mount Vernon, WA 98273
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Other Identifiers 1

OtherPSIX593CA · Dmh

Other Providers at the Same Location NPPES 2

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

JOY O'BRIEN
Counselor
1005 S 3RD ST
MOUNT VERNON, WA 98273
Skagit County (360) 419-3622
TINA BABB CLINICIAN 1
Counselor
1005 S 3RD ST
MOUNT VERNON, WA 98273
Skagit County (360) 419-7554

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 Small's NPI number?

The NPI number for Nicole Small is 1417072356. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Nicole Small located?

Nicole Small practices at 1005 S 3rd St, Mount Vernon, WA 98273. The listed phone number is (360) 419-3612.

What is Nicole Small'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 Small was last updated on January 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.