Nickesha Christine Azan, is a
Social Worker - Clinical based in Woodstock, Georgia. Nickesha Christine Azan is licensed to practice in Georgia (license number CSW009076) and her current practice location is
400 Churchill Ct Ste 440, Woodstock, Georgia. She can be reached at her office (for appointments etc.) via phone at
(202) 384-2875.
NPI number for Nickesha Christine Azan is 1598281750 and her current mailing address is 400 Churchill Ct Ste 440, Woodstock, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598281750.
Healthcare Provider's Profile
| Full Name | Nickesha Christine Azan |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 400 Churchill Ct Ste 440, Woodstock, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1598281750
- Provider Enumeration Date: 08/19/2017
- Last Update Date: 04/24/2024
Medical Identifiers
Medical identifiers for Nickesha Christine Azan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598281750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 83024 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW009076 (Georgia) | 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. Nickesha Christine Azan 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 |
|---|
Nickesha Christine Azan,
400 Churchill Ct Ste 440,
Woodstock, GA 30188-6871
Ph: (202) 384-2875 | Nickesha Christine Azan,
400 Churchill Ct Ste 440,
Woodstock, GA 30188-6871
Ph: (202) 384-2875 |
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