Mike Lyle Nicholson in Bellingham - Clinical
Mike Lyle Nicholson - NPI 1184808701
Mike Lyle Nicholson is a Clinical in Bellingham, Washington. Mike Lyle Nicholson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mike Lyle Nicholson is 1184808701. The last update date is 2018-08-08.
Mike Lyle Nicholson's current location address is 1616 Cornwall Ave Ste 205, Bellingham, Washington. You can contact this provider via phone number 3606766177. The mailing address for Mike Lyle Nicholson is 1616 Cornwall Ave Ste 205, Bellingham, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mike Lyle Nicholson |
|---|---|
| Address | 1616 Cornwall Ave Ste 205, Bellingham, Washington |
| Phone Number | 3606766177 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | B.S. |
NPI Number Detail
| NPI Number | 1184808701 |
|---|---|
| Provider Enumeration Date | 2007-12-18 |
| Last Updated Date | 2018-08-08 |
Provider Mailing Address Detail
| Address | 1616 Cornwall Ave Ste 205 |
|---|---|
| City | Bellingham |
| State | Washington (WA) |
| Post Code | 982254642 |
| Phone Number | 3606766177 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LW60717124 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Mike Lyle Nicholson by the Centers for Medicare & Medicaid Services (CMS)?
The Mike Lyle Nicholson has been assigned the NPI (National Provider Identifier) 1184808701. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mike Lyle Nicholson?
The Mike Lyle Nicholson is situated at 1616 Cornwall Ave Ste 205, in the city of Bellingham, state of WA, with the zip code 982254642.
What is Mike Lyle Nicholson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mike Lyle Nicholson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Mike Lyle Nicholson receive the assignment of its 1184808701 from the Centers for Medicare & Medicaid Services?
The Mike Lyle Nicholson was issued its 1184808701 by the Centers for Medicare & Medicaid Services on 2007-12-18.
When was the Mike Lyle Nicholson's information last updated?
The Mike Lyle Nicholson's information was last updated on 2018-08-08.