| Autumn Nickelson, | |
|
1222 10th Street, Suite 211, Northwest Center For Behavioral Health, Woodward, OK 73801 | |
| (580) 571-3231 | |
| (580) 571-8609 |
| Full Name | Autumn Nickelson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1222 10th Street, Suite 211, Woodward, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619142767 | NPI | - | NPPES |
| 200407870 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3847 (Oklahoma) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Nickelson, 1222 10th Street, Suite 211, Northwest Center For Behavioral Health, Woodward, OK 73801 Ph: (580) 571-3231 | Autumn Nickelson, 1222 10th Street, Suite 211, Northwest Center For Behavioral Health, Woodward, OK 73801 Ph: (580) 571-3231 |
Jonathan Carl Wales, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1116 19th St, Woodward, OK 73801 Phone: 580-922-5656 Fax: 580-922-3261 | |
Ms. Audry Ellen Haldaman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1406 18th St, Woodward, OK 73801 Phone: 580-256-7616 | |
Leah Brady, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1116 19th St, Woodward, OK 73801 Phone: 580-922-5656 Fax: 580-922-3261 | |
Kailynn Martin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202639 E County Road 42, Woodward, OK 73801 Phone: 580-254-5332 | |
Kylene Sharpton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5050 Williams Ave, Woodward, OK 73801 Phone: 580-256-9700 Fax: 580-256-9704 |