Martin, Nicole

Martin, Nicole is an sole proprietor health care provider with primary practice located at 23 Good Shepherd Ter , Bryn Mawr PA 19010-1301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Martin, Nicole can be contacted via phone (917) 319-2039.

Contact Information

Primary practice address
23 Good Shepherd Ter Bryn Mawr PA 19010-1301
Phone: (917) 319-2039
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW020373 Pennsylvania

Profile Details

NPI number 1366999336
LBN Legal business name Martin, Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2016
Last updated Jan 24th, 2024 - about 2 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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