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

Lyssa Nickle, LCSW

Individual provider Clinical Social Worker · NPI 1821480799

Lyssa Nickle, LCSW is a Clinical Social Worker in Valdosta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3021 Schroer Dr
Valdosta, GA 31602-4067
Phone: (229) 630-2499
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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 CSW004376 (GA)

Record details

NPI number1821480799
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 2, 2015
Last updated in NPPESMarch 2, 2015

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