MRS. LAUREN KRAUSE NICKUM
NPI 1992342984
Social Worker - Clinical in Fairfax, VA

Q: What is Lauren Nickum's NPI number?

The NPI number for Lauren Nickum is 1992342984. It was assigned to this individual provider in the NPPES registry on December 9, 2019.

Q: What is Lauren Nickum'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 Lauren Nickum was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 09, 2019

8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031(703) 352-3431(703) 653-9499 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2022, Dec 9, 2019 (2 updates tracked since 2019).

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About Mrs. Lauren Krause Nickum NPPES

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

MRS. LAUREN KRAUSE NICKUM (NPI 1992342984) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0904011367) and active in the NPI registry since December 2019. She maintains a secondary practice location in Vienna.

NPPES Registry Identity

NPI1992342984

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. LAUREN KRAUSE NICKUM

Location Address8221 WILLOW OAKS CORPORATE DRFairfax, VA 22031-4512

Mailing Address8221 Willow Oaks Corporate DrFairfax, VA 22031-4512 · (703) 352-3431 · Fax (703) 653-9499

Phone(703) 352-3431

Fax(703) 653-9499

Sole ProprietorNo

Enumeration DateDecember 9, 2019

Last NPPES UpdateFebruary 25, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2022

✔ NPI 1992342984 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 VA · 0904011367

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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0710102786 (VA)

8221 WILLOW OAKS CORPORATE DR, Fairfax, VA 22031

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Secondary Practice Location 1

Location 1501 Church St NEVienna, VA 22180-4760 · Phone (571) 421-1127

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.

CONNIE LEE MD

Psychiatry & Neurology (Psychiatry)