Nicole Lerae Varkonda, LISW is a
Social Worker - Clinical based in Plymouth, Ohio. Nicole Lerae Varkonda is licensed to practice in Ohio (license number I.1600725) and her current practice location is
4181 Townline Road 111, Plymouth, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 571-2482.
NPI number for Nicole Lerae Varkonda is 1093236010 and her current mailing address is 4181 Townline 111, Plymouth, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093236010.
Healthcare Provider's Profile
Full Name | Nicole Lerae Varkonda |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4181 Townline Road 111, Plymouth, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093236010
- Provider Enumeration Date: 06/29/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Nicole Lerae Varkonda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093236010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | I.1600725 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Lerae Varkonda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Lerae Varkonda, LISW 4181 Townline 111, Plymouth, OH 44865-9684 Ph: (419) 571-2482 | Nicole Lerae Varkonda, LISW 4181 Townline Road 111, Plymouth, OH 44865 Ph: (419) 571-2482 |
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