Individual
JASON NICHOLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2301 MARTIN LUTHER KING JR AVE SE, WHITMAN WALKER HEALTH, WASHINGTON, DC 20020-5813
(347) 834-3781
Mailing address
218 20TH ST NE, #1, WASHINGTON, DC 20002-6752
(347) 834-3781
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LG50081076
DC
1041C0700X
Clinical Social Worker
Primary
LC50080958
DC
Other
Enumeration date
06/10/2014
Last updated
02/27/2017
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