DR. CAROL WILLIAMS NICKELSON PSYD - NPI 1922637982

Q: What is Carol Nickelson's NPI number?

The NPI number for Carol Nickelson is 1922637982. It was assigned to this individual provider in the NPPES registry on April 2, 2020. The provider is also known as Carol Williams Ms.

Q: What is Carol Nickelson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Carol Nickelson was last updated on October 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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About Dr. Carol Williams Nickelson Psyd NPPES

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

DR. CAROL WILLIAMS NICKELSON PSYD (NPI 1922637982) is an individual clinical provider in Ashburn, Virginia, licensed in Virginia (0810007253) and active in the NPI registry since April 2020. She maintains a secondary practice location in Broadlands.

NPPES Registry Identity

NPI1922637982

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CAROL WILLIAMS NICKELSONCredential: PSYD

Location Address20925 PROFESSIONAL PLZ STE 230Ashburn, VA 20147-3403

Mailing Address21385 Glebe View DrBroadlands, VA 20148-3629 · (703) 723-0119

Phone(703) 621-7121

Sole ProprietorYes

Enumeration DateApril 2, 2020

Last NPPES UpdateOctober 4, 20202 updates tracked since enumeration

NPPES CertifiedOctober 4, 2020

✔ NPI 1922637982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810007253

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X

20925 PROFESSIONAL PLZ STE 230, Ashburn, VA 20147

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Other Names 1

Former Name (1)Carol Williams Ms

Secondary Practice Location 1

Location 121385 Glebe View DrBroadlands, VA 20148-3629 · Phone (703) 723-0119

Other Providers at the Same Location NPPES 11

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

LINDA Z SONG PHD

Psychologist (Clinical)