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

Nicolette Koller, LCSWA

Individual provider Clinical Social Worker · NPI 1962182501

Nicolette Koller, LCSWA is a Clinical Social Worker in Wilmington, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023

Practice location Address checks out

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone: (910) 343-0145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 Progress Dr, Burgaw, NC 28425-3280 — (910) 259-0668

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P019189 (NC)

Record details

NPI number1962182501
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorNo
NPI enumeratedJuly 19, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023

Other providers in Wilmington