| Lisa M Nicholson, | |
|
5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 | |
| (984) 215-6641 | |
| (984) 215-4053 |
| Full Name | Lisa M Nicholson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5221 Paramount Pkwy Ste 220, Morrisville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457655185 | NPI | - | NPPES |
| 1952589228 | Other | CA | CARES RES NORTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C011899 (North Carolina) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Entity Name | University Of North Carolina At Chapel Hill |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
| Entity Name | Unc Physicians Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Nicholson, 212 Carmen Ln, Suite 201, Santa Maria, CA 93458-7769 Ph: (805) 739-8706 | Lisa M Nicholson, 5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: (984) 215-6641 |
Mr. Justin Oyler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Downing Bluff Dr, Morrisville, NC 27560 Phone: 831-708-1742 | |
Rachel Floyd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 Claret Ln, Morrisville, NC 27560 Phone: 919-675-2595 | |
Patricia V Pencil, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 Perimeter Park Dr Ste 200, Morrisville, NC 27560 Phone: 984-215-4111 | |
Mr. Charles Boyd Counselman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 705 Keystone Park Dr Unit 50, Morrisville, NC 27560 Phone: 336-707-1915 | |
Kaitlyn Ann Cunningham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Morrisville Square Way Ste 102, Morrisville, NC 27560 Phone: 203-500-4204 | |
Ashley Lasher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1137 Pemberly Ave, Morrisville, NC 27560 Phone: 919-454-4635 | |
Mr. Rajiv Soni Jr., LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Madres Ln, Morrisville, NC 27560 Phone: 919-656-6802 |