Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Stacey J Nichols Ostebo, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1194079103

MS. Stacey J Nichols Ostebo, MSW, LCSW is a Clinical Social Worker in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in New Jersey, Nevada and Utah.

Licensed in
NJ, NV, UT
In the registry since
2012
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

9790 Southerton St
Las Vegas, NV 89178-5532
Phone: (208) 681-9503
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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 44SC05656600 (NJ)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8273583-3502 (UT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8521-C (NV)

Record details

NPI number1194079103
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedOctober 30, 2012
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

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