LYSSA NICKLE L.C.S.W.
NPI 1821480799
Social Worker - Clinical in Valdosta, GA

Active since March 02, 2015
3021 SCHROER DR, VALDOSTA, GA 31602(229) 630-2499 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lyssa Nickle L.c.s.w. NPPES

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

LYSSA NICKLE L.C.S.W. (NPI 1821480799) is an individual clinical provider in Valdosta, Georgia, licensed in Georgia (CSW004376) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1821480799
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLYSSA NICKLECredential: L.C.S.W.
Location Address3021 SCHROER DRValdosta, GA 31602-4067
Mailing Address3021 Schroer DrValdosta, GA 31602-4067 · (229) 630-2499
Sole ProprietorYes
Enumeration DateMarch 2, 2015
NPI 1821480799 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 GA · CSW004376
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.
3021 SCHROER DR, Valdosta, GA 31602

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 Lyssa Nickle's NPI number?

The NPI number for Lyssa Nickle is 1821480799. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Lyssa Nickle located?

Lyssa Nickle practices at 3021 Schroer Dr, Valdosta, GA 31602. The listed phone number is (229) 630-2499.

What is Lyssa Nickle'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 Lyssa Nickle was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.