Restrepo, Nicole

Restrepo, Nicole is an sole proprietor health care provider with primary practice located at 1688 Victory Blvd , Staten Island NY 10314-3547. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Restrepo, Nicole can be contacted via phone (718) 815-4111.

Contact Information

Primary practice address
1688 Victory Blvd Staten Island NY 10314-3547
Phone: (718) 815-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 096535 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 094432 New York

Profile Details

NPI number 1497131098
LBN Legal business name Restrepo, Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2015
Last updated Dec 26th, 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.

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