David L Nickelson, MSW, LCSW | |
101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 | |
(888) 849-7379 | |
(855) 857-7333 |
Full Name | David L Nickelson |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 101 Cabarrus Ave E Ste 200, Concord, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619081486 | NPI | - | NPPES |
6003647 | Medicaid | NC | |
146CW | Other | NC | BCBS |
477039 | Other | NC | HUMANA GOLD CHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C001740 (North Carolina) | Primary |
Entity Name | Presbyterian Counseling Center Of Greensboro, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831138296 PECOS PAC ID: 7911979331 Enrollment ID: O20040806000964 |
Entity Name | Daymark Recovery Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213 |
Mailing Address | Practice Location Address |
---|---|
David L Nickelson, MSW, LCSW 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 Ph: (888) 849-7379 | David L Nickelson, MSW, LCSW 101 Cabarrus Ave E Ste 200, Concord, NC 28025-3781 Ph: (888) 849-7379 |
Ms. Sonja Jo Bohannon-thacker, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 363 Church St N Ste 250v, Concord, NC 28025 Phone: 704-920-1199 Fax: 704-934-4270 | |
Karen Rodriguez, MSW., P-LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 202d Mcgill Ave Nw, Concord, NC 28025 Phone: 704-792-2315 | |
Katie Evett Huneycutt, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr, Suite 100, Concord, NC 28025 Phone: 704-939-1100 Fax: 704-939-1173 | |
Ms. Stacia Lynn Crick-brommel, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333 | |
Kiera Brown, MSW, LCSW, LCAS-A Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 219 Lephillip Court, Concord, NC 28025 Phone: 704-721-5551 | |
Kristy Elliott Benfield, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Cabarrus Ave E, Concord, NC 28025 Phone: 888-849-7379 Fax: 855-857-7333 | |
Kaitlyn Lumston Armstrong, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 257 Church St Ne, Concord, NC 28025 Phone: 336-870-6398 |