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

Rebecca Louise Nicklay, LICSW

Individual provider Clinical Social Worker · NPI 1588361174

Rebecca Louise Nicklay, LICSW is a Clinical Social Worker in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

7920 Old Cedar Ave S
Bloomington, MN 55425-1207
Phone: (952) 428-1899
Fax: (952) 428-1723
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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 15961 (MN)

Record details

NPI number1588361174
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 14, 2023
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023

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