Shifflett, Nicole Diane

Shifflett, Nicole Diane is an individual health care provider with primary practice located at 6811 Engano Ln , Wahiawa HI 96786-3041. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, 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. Shifflett, Nicole Diane can be contacted via phone (405) 812-9159.

Contact Information

Primary practice address
6811 Engano Ln Wahiawa HI 96786-3041
Phone: (405) 812-9159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 2994 Hawaii
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5169 Hawaii

Profile Details

NPI number 1710638416
LBN Legal business name Shifflett, Nicole Diane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2022
Last updated May 11th, 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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