QURENA NICHELLE NICHOLS LCSWA
NPI 1417835745
Social Worker - Clinical in Fayetteville, NC

Active since August 25, 2025
5617 RAMSEY ST, FAYETTEVILLE, NC 28311(910) 483-7377 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Qurena Nichelle Nichols Lcswa NPPES

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

QURENA NICHELLE NICHOLS LCSWA (NPI 1417835745) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (PO22819) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1417835745
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameQURENA NICHELLE NICHOLSCredential: LCSWA
Location Address5617 RAMSEY STFayetteville, NC 28311-1423
Mailing Address82 Green Cypress WayGarner, NC 27529-9247 · (770) 789-5644
Sole ProprietorNo
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1417835745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · PO22819
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 ListedSocial WorkerTaxonomy 104100000X
5617 RAMSEY ST, Fayetteville, NC 28311

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Pediatrics)
5617 RAMSEY ST
FAYETTEVILLE, NC 28311
Nurse Practitioner (Pediatrics)
5617 RAMSEY ST
FAYETTEVILLE, NC 28311
Physician Assistant
5617 RAMSEY ST
FAYETTEVILLE, NC 28311
Nurse Practitioner (Pediatrics)
5617 RAMSEY ST
FAYETTEVILLE, NC 28311
Nurse Practitioner (Family)
5617 RAMSEY ST
FAYETTEVILLE, NC 28311
Behavior Technician
5617 RAMSEY ST
FAYETTEVILLE, NC 28311
Behavior Analyst
5617 RAMSEY ST
FAYETTEVILLE, NC 28311
Assistant Behavior Analyst
5617 RAMSEY ST
FAYETTEVILLE, NC 28311

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 Qurena Nichols's NPI number?

The NPI number for Qurena Nichols is 1417835745. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Qurena Nichols located?

Qurena Nichols practices at 5617 Ramsey St, Fayetteville, NC 28311. The listed phone number is (910) 483-7377.

What is Qurena Nichols'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 Qurena Nichols was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.