Podgorski, Nicole Mary

Podgorski, Nicole Mary is an sole proprietor health care provider with primary practice located at 7055 Engle Rd Bldg 6-601 , Middleburg Heights OH 44130-8491. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), 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. Podgorski, Nicole Mary can be contacted via phone (440) 610-7733.

Contact Information

Primary practice address
7055 Engle Rd Bldg 6-601 Middleburg Heights OH 44130-8491
Phone: (440) 610-7733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.162430
Behavioral Health & Social Service Providers / Social Worker 104100000X 1600701 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2506872 Ohio

Profile Details

NPI number 1891213294
LBN Legal business name Podgorski, Nicole Mary
Credentials LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2017
Last updated Jul 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891213294 NPPES
Ohio MEDICAID 0262708

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