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

Individual provider Clinical Social Worker · NPI 1912656968

Nicole Ehrenstrom, MSW is a Clinical Social Worker in Waterloo, Illinois. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

1 ED Gardner Pl
Waterloo, IL 62298-1677
Phone: (618) 939-3060
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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 2014029681 (MO)

Record details

NPI number1912656968
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedMarch 18, 2022
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022

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