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

Autumn Nickelson

Individual provider Clinical Social Worker · NPI 1619142767

Autumn Nickelson is a Clinical Social Worker in Woodward, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

1222 10th St Ste 211 Northwest Center For Behavioral Health
Woodward, OK 73801
Phone: (580) 571-3231
Fax: (580) 571-8609
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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 3847 (OK)
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1619142767
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 29, 2008
Last updated in NPPESNovember 30, 2016

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