| Michaela Nolin, LICSW | |
|
1830 Montclair Rd Ste A, Irondale, AL 35210-2645 | |
| (205) 775-0300 | |
| (205) 618-9706 |
| Full Name | Michaela Nolin |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1830 Montclair Rd Ste A, Irondale, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255015897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5350C (Alabama) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5350C-S (Alabama) | Primary |
| Entity Name | Kolbe Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841675865 PECOS PAC ID: 4183925910 Enrollment ID: O20151221000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Michaela Nolin, LICSW 1830 Montclair Rd Ste A, Irondale, AL 35210-2645 Ph: (205) 775-0300 | Michaela Nolin, LICSW 1830 Montclair Rd Ste A, Irondale, AL 35210-2645 Ph: (205) 775-0300 |
Celi Ragland, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7901 Crestwood Blvd, Irondale, AL 35210 Phone: 205-933-8101 | |
Mrs. Diana Lynn Pruitt, LCSW, CCADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2302 Highland Ave, Irondale, AL 35210 Phone: 404-423-6262 | |
Aniya L Mcgee, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7901 Crestwood Blvd, Irondale, AL 35210 Phone: 205-401-3249 |