Individual
MS. STACEY J NICHOLS OSTEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
9790 SOUTHERTON ST, LAS VEGAS, NV 89178-5532
(208) 681-9503
Mailing address
9790 SOUTHERTON ST, LAS VEGAS, NV 89178-5532
(208) 681-9503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05656600
NJ
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
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