Derrico, Nicole Leigh

Derrico, Nicole Leigh is an individual health care provider with primary practice located at 1426 Creekwood Rd , Hope Mills NC 28348-1418. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Derrico, Nicole Leigh can be contacted via phone (910) 316-5225.

Contact Information

Primary practice address
1426 Creekwood Rd Hope Mills NC 28348-1418
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C010147 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 17204 South Carolina
Behavioral Health & Social Service Providers / Social Worker 104100000X 078863-1 New York

Profile Details

NPI number 1467713073
LBN Legal business name Derrico, Nicole Leigh
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2012
Last updated Dec 19th, 2025 - about last year

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 1467713073 NPPES
North Carolina Other C010147 LCSW
North Carolina Other 078863-1 LCSW

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