Individual
NICKALA JIMELE KENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
706 PARTRIDGE DR, ALBANY, GA 31707-3044
(770) 842-3096
Mailing address
706 PARTRIDGE DR, ALBANY, GA 31707-3044
(770) 842-3096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009897
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MSW008114
GA
Other
Enumeration date
12/01/2017
Last updated
01/31/2026
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