Nicole Ellsworth
Developmental Therapist in Southbridge, Massachusetts
1053860536- Practice location
- 486 Worcester St, Kennedy Donovan Center, Southbridge, MA 01550-1386
- Phone
- 508-367-2338
- Fax
- —
- Last updated
- September 26, 2016
Nicole Ellsworth is a Developmental Therapist based in Southbridge, MA. Nicole Ellsworth practices in Southbridge, MA. The NPI Number for Nicole Ellsworth is 1053860536. The current practice location address for Nicole Ellsworth is 486 Worcester St, Kennedy Donovan Center, Southbridge, MA 01550-1386 and can be reached out via phone at 508-367-2338.
Provider Profile Details
- NPI Number
- 1053860536
- Provider Name
- Nicole Ellsworth
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 486 Worcester St, Kennedy Donovan Center, Southbridge, MA 01550-1386
- Phone Number
- 508-367-2338
- Primary Taxonomy
- Developmental Therapist · 222Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 26, 2016
- Last Update Date
- September 26, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-1386
- Phone Number
- 508-367-2338
Provider Business Mailing Address Details
- Address
- 486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386 - City
- Southbridge
- State
- MA
- Zip
- 01550-1386
- Phone Number
- 508-367-2338
License Information
- Taxonomy
- Developmental Therapist · 222Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Developmental Therapists near Southbridge, MA
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- Brianna A DemartinoDevelopmental Therapist · NPI 1326952979
- Cali N MartinelliDevelopmental Therapist · NPI 1497434096
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Frequently Asked Questions
What is the NPI number of Nicole Ellsworth?
The NPI number of Nicole Ellsworth is 1053860536. It was assigned on September 26, 2016 and is currently active in the NPPES registry.
What is the specialty of Nicole Ellsworth?
Nicole Ellsworth is registered under the primary taxonomy Developmental Therapist (code 222Q00000X).
Where does Nicole Ellsworth practice?
The practice location is 486 Worcester St, Kennedy Donovan Center, Southbridge, MA 01550-1386. The office can be reached at 508-367-2338 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053860536 directly on the NPPES registry website.