Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mrs. Jody Daphne Antal-Nicks, LCSW

Individual provider Social Worker · NPI 1952439457

Mrs. Jody Daphne Antal-Nicks, LCSW is a Social Worker in Corrales, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2007
Specialties on file
2
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

3949 Corrales Rd Ste 205
Corrales, NM 87048-9348
Phone: (505) 385-0439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence C-04805 (NM)
School Social Worker Taxonomy 1041S0200X · Licence C-04805 (NM)

Record details

NPI number1952439457
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 28, 2007
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 17, 2026

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