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

Qurena Nichelle Nichols, LCSWA

Individual provider Social Worker · NPI 1417835745

Qurena Nichelle Nichols, LCSWA is a Social Worker in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

5617 Ramsey St
Fayetteville, NC 28311-1423
Phone: (910) 483-7377
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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 PO22819 (NC)
Social Worker Taxonomy 104100000X

Record details

NPI number1417835745
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorNo
NPI enumeratedAugust 25, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

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