Nolan, Tina C

Nolan, Tina C is an individual health care provider with primary practice located at 6010 Black Horse Pike , Egg Harbor Twp NJ 08234-9752. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Nolan, Tina C can be contacted via phone (609) 272-8580.

Contact Information

Primary practice address
6010 Black Horse Pike Egg Harbor Twp NJ 08234-9752
Phone: (609) 272-8580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW013868 Pennsylvania

Profile Details

NPI number 1952458051
LBN Legal business name Nolan, Tina C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Feb 24th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952458051 NPPES
Pennsylvania MEDICAID 01959001

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