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

Nicole Wilson, LSW

Individual provider Social Worker · NPI 1619703089

Nicole Wilson, LSW is a Social Worker in Coudersport, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2024.

Licensed in
PA
In the registry since
2024
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

1 N Main St
Coudersport, PA 16915-1630
Phone: (814) 274-8651
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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 SW141371 (PA)

Record details

NPI number1619703089
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedSeptember 11, 2024
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address49 Lefever Rd, Coudersport, PA 16915-8362

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