Active NPIIndividual provider

Lisa L Nicholson, LICSW

Psychologist in Brattleboro, Vermont

NPI Number1114045671
Practice location
29 Elm St, Brattleboro, VT 05301-6511
Fax
802-254-7506
Last updated
July 8, 2007

Lisa L Nicholson is a Psychologist based in Brattleboro, VT. Lisa L Nicholson practices in Brattleboro, VT and has the professional credentials of LICSW. The NPI Number for Lisa L Nicholson is 1114045671 and holds a License No. 089-0000699 (VT). The current practice location address for Lisa L Nicholson is 29 Elm St, Brattleboro, VT 05301-6511 and can be reached out via phone at 802-254-7511 and via fax at 802-254-7506.

Provider Profile Details

NPI Number
1114045671
Provider Name
Lisa L Nicholson
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
29 Elm St, Brattleboro, VT 05301-6511
Phone Number
802-254-7511
Fax Number
802-254-7506
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
March 26, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Elm St
Brattleboro, VT 05301-6511
State
Vermont
Zip
05301-6511
Phone Number
802-254-7511
Fax Number
802-254-7506
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
1 Hospital CT
Ste 410
Bellows Falls, VT 05101-1489
City
Bellows Falls
State
VT
Zip
05101-1489
Phone Number
802-463-3294
Fax Number
802-463-1206

License Information

License Number
089-0000699
License State
VT
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Psychologists near Brattleboro, VT

View all Psychologists in Brattleboro →

Frequently Asked Questions

What is the NPI number of Lisa L Nicholson, LICSW?

The NPI number of Lisa L Nicholson, LICSW is 1114045671. It was assigned on March 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Lisa L Nicholson, LICSW?

Lisa L Nicholson, LICSW is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in VT under license number 089-0000699.

Where does Lisa L Nicholson, LICSW practice?

The practice location is 29 Elm St, Brattleboro, VT 05301-6511. The office can be reached at 802-254-7511 (phone) or 802-254-7506 (fax).

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 1114045671 directly on the NPPES registry website.

Browse related providers