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

Justine Nicole Nicholas

Individual provider Clinical Social Worker · NPI 1558068676

Justine Nicole Nicholas is a Clinical Social Worker in Summersville, West Virginia. Licensed in West Virginia. Registered with an NPI since 2023.

Licensed in
WV
In the registry since
2023

Practice location Address checks out

131 Wellness Dr
Summersville, WV 26651-5402
Phone: (888) 736-3229
Fax: (304) 872-5415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence BP00946467 (WV)

Record details

NPI number1558068676
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 9, 2023
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

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