person
Nicole Domine, LICSW
Clinical Social Worker in Fargo, North Dakota
NPI 1396280954

Nicole Domine is a Clinical Social Worker based in Fargo, ND and is specialized in Clinical. Nicole Domine practices in Fargo, ND and has the professional credentials of LICSW. The NPI Number for Nicole Domine is 1396280954 and holds a License No. 23025 (North Dakota).

The current practice location address for Nicole Domine is 4357 13Th Ave S Ste 104, Fargo, ND and can be reached out via phone at 701-478-4480 and via fax at 701-478-4481.

Location: 4357 13Th Ave S Ste 104, Fargo, ND, 58103-7504
person
Provider Profile Details
NPI Number
1396280954
Provider Name
Nicole Domine
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
4357 13Th Ave S Ste 104, Fargo, ND, 58103-7504
Phone Number
701-478-4480
Fax Number
701-478-4481
Provider Enumeration Date
01/05/2017
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
4357 13Th Ave S Ste 104
City
State
Zip
58103-7504
Phone Number
701-478-4480
Fax Number
701-478-4481
person
Provider Business Mailing Address Details
Address
4357 13Th Ave S Ste 104
City
State
Zip
58103-7504
Phone Number
701-478-4480
Fax Number
701-478-4481
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
23025 (Minnesota)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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