Nicotra, Jennifer

Nicotra, Jennifer is an sole proprietor health care provider with primary practice located at 1201 1St St S , Winter Haven FL 33880-3904. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Nicotra, Jennifer can be contacted via phone (863) 293-1121.

Contact Information

Primary practice address
1201 1St St S Winter Haven FL 33880-3904
Phone: (863) 293-1121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X SW12009 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X 120009 Florida

Profile Details

NPI number 1336554633
LBN Legal business name Nicotra, Jennifer
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2014
Last updated Oct 21st, 2019 - about 7 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

Popular Providers