Doctor Name: | NICOLE M WELLS-CIMMINO |
NPI Number: | 1013269133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SL05501600 |
Business Practice Address: | 1 Hunterdon Rd West Orange, NJ - 070521603 |
Business Phone Number: | 8622163935 |
Business Fax Number: | 9732430989 |
Mailing Address: | 1 Hunterdon Rd, WEST ORANGE |
State: | NJ |
Postal Code: | 070521603 |
Phone Number: | 8622163935 |
Fax Number: | 9732430989 |
NPI Enumeration Date: | 10/12/2012 |
NPI Last Update Date: | 10/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SL05501600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |