| Mr Blake Baker Nicholson Iii, LCSW | |
|
928 12th St, Greeley, CO 80631-4024 | |
| (970) 336-4910 | |
| (970) 336-5000 |
| Full Name | Mr Blake Baker Nicholson Iii |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 928 12th St, Greeley, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891769261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 992906 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Blake Baker Nicholson Iii, LCSW 590 Far View Ln, Estes Park, CO 80517-9049 Ph: (970) 577-0606 | Mr Blake Baker Nicholson Iii, LCSW 928 12th St, Greeley, CO 80631-4024 Ph: (970) 336-4910 |
Jennifer Wallace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2120 | |
Laura Reid, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2101 16th St, Greeley, CO 80631 Phone: 970-573-7593 | |
Jarah Adrianna Grashorn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-2044 | |
Sarah Wendt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2302 | |
Mr. Thomas Greeley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 928 12th St, Greeley, CO 80631 Phone: 970-347-2120 | |
Caitlin Emily Buchholz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2120 | |
Ruby Rae Pino, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3257 W. 20th St., Greeley, CO 80634 Phone: 970-672-4667 |