Daigle, Nicole

Daigle, Nicole is an sole proprietor health care provider with primary practice located at 51 Union St Suite 214, Worcester MA 01608-1194. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Daigle, Nicole can be contacted via phone (508) 769-7812.

Contact Information

Primary practice address
51 Union St Suite 214 Worcester MA 01608-1194
Phone: (508) 769-7812
Fax: (508) 519-5882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X 6976 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6976 Massachusetts

Profile Details

NPI number 1760545800
LBN Legal business name Daigle, Nicole
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Oct 17th, 2018 - about 8 years 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 1760545800 NPPES
Massachusetts MEDICAID 023770

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