David L. Nickelson is a Clinical in Concord, North Carolina. David L. Nickelson practices all healthcare services and medical treatments related to Clinical. The NPI Number for David L. Nickelson is 1619081486. The last update date is 2019-08-06.
David L. Nickelson's current location address is 101 Cabarrus Ave E Ste 200, Concord, North Carolina. You can contact this provider via phone number 8888497379 and fax number 8558577333. The mailing address for David L. Nickelson is 101 Cabarrus Ave E Ste 200, Concord, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David L. Nickelson |
|---|---|
| Address | 101 Cabarrus Ave E Ste 200, Concord, North Carolina |
| Phone Number | 8888497379 |
| Fax Number | 8558577333 |
| Sole Proprietor | N |
| Credentials | M.S.W., L. |
NPI Number Detail
| NPI Number | 1619081486 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2019-08-06 |
Provider Mailing Address Detail
| Address | 101 Cabarrus Ave E Ste 200 |
|---|---|
| City | Concord |
| State | North Carolina (NC) |
| Post Code | 280253781 |
| Phone Number | 8888497379 |
| Fax Number | 8558577333 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C001740 |
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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 |
|---|---|---|---|
| 6003647 | NC | -- | |
| 146CW | NC | BCBS | |
| 477039 | NC | HUMANA GOLD CHOICE |
Post Comment/ Review Below
What is the David L. Nickelson's 1619081486?
The David L. Nickelson's NPI (National Provider Identifier) Number is 1619081486. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of David L. Nickelson?
The David L. Nickelson is physically situated at 101 Cabarrus Ave E Ste 200, in the city of Concord, state of NC, with the postal code 280253781.
What is the David L. Nickelson's area of specialization and corresponding taxonomy classification?
The David L. Nickelson's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the David L. Nickelson receive its 1619081486 assignment from the Centers for Medicare & Medicaid Services?
The David L. Nickelson was assigned its 1619081486 by the Centers for Medicare & Medicaid Services on 2006-08-18.
As of what date were the details pertaining to David L. Nickelson last refreshed?
The information related to the David L. Nickelson, including its address, specialty, and other relevant details, was last updated on 2019-08-06.