Gaines, Nicole L.

Gaines, Nicole L. is an sole proprietor health care provider with primary practice located at 17295 Chesterfield Airport Rd Ste 200 , Chesterfield MO 63005-1423. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gaines, Nicole L. can be contacted via phone (314) 921-1140.

Contact Information

Primary practice address
17295 Chesterfield Airport Rd Ste 200 Chesterfield MO 63005-1423
Phone: (314) 921-1140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2004004597 Missouri

Profile Details

NPI number 1184824492
LBN Legal business name Gaines, Nicole L.
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2007
Last updated Aug 2nd, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184824492 NPPES
Missouri MEDICAID 499425304

Popular Providers