Mrs. Nicole Lane Clark, LCSW
Mrs. Nicole Lane Clark, LCSW is a Clinical Social Worker in Shingletown, California. Qualified in 2013, 13 years ago. Practices with Shingletown Medical Center, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 13
- Licensed in
- CA
- In the registry since
- 2013
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
31292 Alpine Meadows RdShingletown, CA 96088-9462
Phone: (530) 474-3390
Fax: (530) 474-1407
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 43423 Division St, Lancaster, CA 93535-4639 — (661) 266-4783
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 91794 (CA) |
|---|
Record details
| NPI number | 1467893032 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2013 |
| Last updated in NPPES | May 21, 2021 |
| Certification date | May 21, 2021 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Shingletown Medical Center — 12 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |