Active NPIIndividual providerSole proprietor

Laquita Mcnickles, LCSW

Social Worker, Clinical in Berkeley Heights, New Jersey

NPI Number1124420088
Practice location
200 Connell Dr, Berkeley Heights, NJ 07922-2805
Fax
—
Last updated
December 29, 2023

Laquita Mcnickles is a Social Worker, Clinical based in Berkeley Heights, NJ. Laquita Mcnickles practices in Berkeley Heights, NJ and has the professional credentials of LCSW. The NPI Number for Laquita Mcnickles is 1124420088 and holds a License No. 088543-1 (NY). The current practice location address for Laquita Mcnickles is 200 Connell Dr, Berkeley Heights, NJ 07922-2805 and can be reached out via phone at 917-261-4414.

Provider Profile Details

NPI Number
1124420088
Provider Name
Laquita Mcnickles
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
200 Connell Dr, Berkeley Heights, NJ 07922-2805
Phone Number
917-261-4414
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 23, 2014
Last Update Date
December 29, 2023
Certification Date
December 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Connell Dr
Berkeley Heights, NJ 07922-2805
Zip
07922-2805
Phone Number
917-261-4414
Berkeley Heights, NJ 07922Get directions →

Provider Business Mailing Address Details

Address
200 Connell Dr
Berkeley Heights, NJ 07922-2805
City
Berkeley Heights
State
NJ
Zip
07922-2805
Phone Number
917-261-4414

License Information

License Number (1)
088543-1
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SC05763000
License State (2)
NJ
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Laquita Mcnickles, LCSW?

The NPI number of Laquita Mcnickles, LCSW is 1124420088. It was assigned on September 23, 2014 and is currently active in the NPPES registry.

What is the specialty of Laquita Mcnickles, LCSW?

Laquita Mcnickles, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 088543-1.

Where does Laquita Mcnickles, LCSW practice?

The practice location is 200 Connell Dr, Berkeley Heights, NJ 07922-2805. The office can be reached at 917-261-4414 (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 1124420088 directly on the NPPES registry website.

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