# MS. STACEY J NICHOLS OSTEBO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194079103
- **Gender:** F
- **Credential:** MSW, LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 44SC05656600 | NJ | Yes |
| 1041C0700X | Clinical Social Worker | 8273583-3502 | UT | — |
| 1041C0700X | Clinical Social Worker | 8521-C | NV | — |

## Other

- **Enumeration date:** 10/30/2012
- **Last updated:** 01/20/2026