Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autumn Nickelson

Individual provider Clinical Social Worker · NPI 1619142767

Autumn Nickelson is a Clinical Social Worker in Woodward, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

1222 10th St Ste 211 Northwest Center For Behavioral Health
Woodward, OK 73801
Phone: (580) 571-3231
Fax: (580) 571-8609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3847 (OK)
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1619142767
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 29, 2008
Last updated in NPPESNovember 30, 2016
Mailing address1222 10th Street, Suite 211, Northwest Center For Behavioral Health, Woodward, OK 73801

Other providers in Woodward