Burns, Nichole E

Burns, Nichole E is an individual health care provider with primary practice located at 415 Silas Deane Hwy Ste 402 , Wethersfield CT 06109-2119. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Burns, Nichole E can be contacted via phone (860) 288-7034.

Contact Information

Primary practice address
415 Silas Deane Hwy Ste 402 Wethersfield CT 06109-2119
Phone: (860) 288-7034
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1003230624
LBN Legal business name Burns, Nichole E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2014
Last updated Jun 15th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003230624 NPPES
Connecticut MEDICAID 008059339

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