Ms Nicole E Buddle-diaz, LCSW is a
Social Worker - Clinical based in Alpharetta, Georgia. Ms Nicole E Buddle-diaz is licensed to practice in Georgia (license number CSW004130) and her current practice location is
2300 Lakeview Pkwy Ste 700, Alpharetta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 699-6208.
NPI number for Ms Nicole E Buddle-diaz is 1407158165 and her current mailing address is 2300 Lakeview Pkwy Ste 700, Alpharetta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407158165.
Healthcare Provider's Profile
| Full Name | Ms Nicole E Buddle-diaz |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 2300 Lakeview Pkwy Ste 700, Alpharetta, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407158165
- Provider Enumeration Date: 11/30/2010
- Last Update Date: 05/06/2020
Medical Identifiers
Medical identifiers for Ms Nicole E Buddle-diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407158165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAP 3256 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW6986 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW004130 (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. Ms Nicole E Buddle-diaz 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 Nicole E Buddle-diaz, LCSW
2300 Lakeview Pkwy Ste 700,
Alpharetta, GA 30009-9066
Ph: (678) 699-6208 | Ms Nicole E Buddle-diaz, LCSW
2300 Lakeview Pkwy Ste 700,
Alpharetta, GA 30009-9066
Ph: (678) 699-6208 |
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