Nicole Whitney Small, is a
Social Worker based in Santa Monica, California. Nicole Whitney Small is licensed to practice in California (license number 116970) and her current practice location is
1328 2nd St, Santa Monica, California. She can be reached at her office (for appointments etc.) via phone at
(310) 394-6889.
NPI number for Nicole Whitney Small is 1942867536 and her current mailing address is 1328 2nd St, Santa Monica, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942867536.
Healthcare Provider's Profile
| Full Name | Nicole Whitney Small |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 1328 2nd St, Santa Monica, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1942867536
- Provider Enumeration Date: 05/20/2019
- Last Update Date: 08/31/2023
Medical Identifiers
Medical identifiers for Nicole Whitney Small such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942867536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | R1349790619 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 104100000X | Social Worker | 116970 (California) | 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 Whitney Small 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 Whitney Small,
1328 2nd St,
Santa Monica, CA 90401-1122
Ph: (310) 394-6889 | Nicole Whitney Small,
1328 2nd St,
Santa Monica, CA 90401-1122
Ph: (310) 394-6889 |
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