Active NPIIndividual providerSole proprietor

Nicole E Davis, LCSW

Social Worker, Clinical in Millburn, New Jersey

NPI Number1366621302
Practice location
159 Millburn Ave Ste 1, Millburn, NJ 07041-1846
Fax
—
Last updated
January 22, 2021

Nicole E Davis is a Social Worker, Clinical based in Millburn, NJ. Nicole E Davis practices in Millburn, NJ and has the professional credentials of LCSW. The NPI Number for Nicole E Davis is 1366621302 and holds a License No. 076063-1 (NY). The current practice location address for Nicole E Davis is 159 Millburn Ave Ste 1, Millburn, NJ 07041-1846 and can be reached out via phone at 917-304-7951.

Provider Profile Details

NPI Number
1366621302
Provider Name
Nicole E Davis
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
159 Millburn Ave Ste 1, Millburn, NJ 07041-1846
Phone Number
917-304-7951
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 26, 2007
Last Update Date
January 22, 2021
Certification Date
January 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
159 Millburn Ave Ste 1
Millburn, NJ 07041-1846
Zip
07041-1846
Phone Number
917-304-7951
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
50 Forest Hill RD
West Orange, NJ 07052-4518
City
West Orange
State
NJ
Zip
07052-4518
Phone Number
917-304-7951

License Information

License Number (1)
076063-1
License State (1)
NY
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
078313
License State (2)
NY
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 Nicole E Davis, LCSW?

The NPI number of Nicole E Davis, LCSW is 1366621302. It was assigned on October 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Nicole E Davis, LCSW?

Nicole E Davis, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 076063-1.

Where does Nicole E Davis, LCSW practice?

The practice location is 159 Millburn Ave Ste 1, Millburn, NJ 07041-1846. The office can be reached at 917-304-7951 (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 1366621302 directly on the NPPES registry website.

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