Individual
MS. NIKKI SCHWISOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8537 S REDWOOD RD STE C, WEST JORDAN, UT 84088-5713
(385) 449-2200
Mailing address
8537 S REDWOOD RD STE C, WEST JORDAN, UT 84088-5713
(385) 449-2200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904014439
VA
1041C0700X
Clinical Social Worker
105617
TX
1041C0700X
Clinical Social Worker
Primary
8034933-3501
UT
1041C0700X
Clinical Social Worker
I.2103013
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000308007
—
UT
Enumeration date
08/10/2010
Last updated
02/02/2024
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