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
Phone: (910) 316-5225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467713073 | NPPES |
| North Carolina | Other | C010147 | LCSW |
| North Carolina | Other | 078863-1 | LCSW |
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