Teresa J Nichols is a Clinical in New Madrid, Missouri. Teresa J Nichols practices all healthcare services and medical treatments related to Clinical. The NPI Number for Teresa J Nichols is 1003813957. The last update date is 2012-04-20.
Teresa J Nichols's current location address is 421 Line Street, New Madrid, Missouri. You can contact this provider via phone number 5737482592 and fax number 5737482291. The mailing address for Teresa J Nichols is 421 Line Street, New Madrid, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa J Nichols |
|---|---|
| Address | 421 Line Street, New Madrid, Missouri |
| Phone Number | 5737482592 |
| Fax Number | 5737482291 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1003813957 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2012-04-20 |
Provider Mailing Address Detail
| Address | 421 Line Street |
|---|---|
| City | New Madrid |
| State | Missouri (MO) |
| Post Code | 6386917330 |
| Phone Number | 5737482592 |
| Fax Number | 5737482291 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 20002007253 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 495072241 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Teresa J Nichols by the Centers for Medicare & Medicaid Services (CMS)?
The Teresa J Nichols has been assigned the NPI (National Provider Identifier) 1003813957. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Teresa J Nichols is physically located?
The Teresa J Nichols is physically situated at the following address: 421 Line Street, New Madrid, MO, 6386917330.
What is Teresa J Nichols's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Teresa J Nichols's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did the Teresa J Nichols receive its 1003813957?
The Teresa J Nichols was issued its 1003813957 on 2005-07-07, which is the date when the organization was assigned this unique identifier.
When was the information related to Teresa J Nichols most recently updated or refreshed?
The details pertaining to the Teresa J Nichols, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-04-20.