Mrs Christine Renee Nichols, MSW | |
1030 Second Street Pike, Southampton, PA 18966 | |
(215) 355-6525 | |
(267) 989-1703 |
Full Name | Mrs Christine Renee Nichols |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1030 Second Street Pike, Southampton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912284993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW012934 (Pennsylvania) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120416000069 |
Mailing Address | Practice Location Address |
---|---|
Mrs Christine Renee Nichols, MSW 205 Village Lane, New Wilmington, New Wilmington, PA 16142 Ph: (215) 355-6525 | Mrs Christine Renee Nichols, MSW 1030 Second Street Pike, Southampton, PA 18966 Ph: (215) 355-6525 |
Meredith L. Kramer, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 Street Rd, Suite 312, Southampton, PA 18966 Phone: 215-355-2011 Fax: 215-396-1886 | |
Elyse Hibbs, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 928 Jaymor Rd Ste B150, Southampton, PA 18966 Phone: 215-947-8654 | |
William J. Massinger Iv, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 504 Lakeside Drive, Southampton, PA 18966 Phone: 215-354-0777 Fax: 215-354-0772 | |
Justin Benner, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 928 Jaymor Rd Ste B-150, Southampton, PA 18966 Phone: 215-947-8654 | |
Amanda Phillips, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 Phone: 215-354-0777 | |
Judith Morrissey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 928 Jaymor Rd Ste B-150, Southampton, PA 18966 Phone: 215-947-8654 Fax: 215-938-7607 | |
Matthew Rosenberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 Lakeside Park, Southampton, PA 18966 Phone: 215-355-9707 |