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

Individual provider Counselor · NPI 1841746146

Nicole Marie Diercks, LPC, CSAC is a Counselor in Clarksville, Tennessee. Practices as a sole proprietor. Licensed in Virginia and Wisconsin.

Licensed in
VA, WI
In the registry since
2016
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

950 Old Mack Rd
Clarksville, TN 37040-8338
Phone: (512) 887-2862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6995-125 (WI)
Counselor Taxonomy 101Y00000X · Licence 0701008933 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 16382-132 (WI)

Record details

NPI number1841746146
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , CSAC
Sole proprietorYes
NPI enumeratedAugust 28, 2016
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

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