Ms Stacey J Nichols, MSW, LCSW is a
Social Worker - Clinical based in Cherry Hill, New Jersey. Ms Stacey J Nichols is licensed to practice in New Jersey (license number 44SC05656600) and her current practice location is
11 W Ormond Ave, Ste 200-d, Cherry Hill, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(385) 313-0680.
NPI number for Ms Stacey J Nichols is 1194079103 and her current mailing address is 11 W Ormond Ave, Ste 200-d, Cherry Hill, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194079103.
Healthcare Provider's Profile
Full Name | Ms Stacey J Nichols |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 11 W Ormond Ave, Cherry Hill, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194079103
- Provider Enumeration Date: 10/30/2012
- Last Update Date: 11/20/2015
Medical Identifiers
Medical identifiers for Ms Stacey J Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194079103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 8273583-3502 (Utah) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC05656600 (New Jersey) | 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. Ms Stacey J Nichols 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 |
Ms Stacey J Nichols, MSW, LCSW 11 W Ormond Ave, Ste 200-d, Cherry Hill, NJ 08002-3054 Ph: (385) 313-0680 | Ms Stacey J Nichols, MSW, LCSW 11 W Ormond Ave, Ste 200-d, Cherry Hill, NJ 08002-3054 Ph: (385) 313-0680 |
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