Heather Kathleen Nicholson, is a
Social Worker - Clinical based in San Diego, California. Heather Kathleen Nicholson is licensed to practice in * (Not Available) (license number ) and her current practice location is
8787 Complex Dr Ste 300, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 433-5563.
NPI number for Heather Kathleen Nicholson is 1477124402 and her current mailing address is 420 N Twin Oaks Valley Rd. #2204, San Marcos, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477124402.
Healthcare Provider's Profile
| Full Name | Heather Kathleen Nicholson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 8787 Complex Dr Ste 300, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477124402
- Provider Enumeration Date: 07/09/2021
- Last Update Date: 10/11/2023
Medical Identifiers
Medical identifiers for Heather Kathleen Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477124402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Heather Kathleen Nicholson 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 |
Heather Kathleen Nicholson, 420 N Twin Oaks Valley Rd. #2204, San Marcos, CA 92069-9998 Ph: () - | Heather Kathleen Nicholson, 8787 Complex Dr Ste 300, San Diego, CA 92123-1453 Ph: (619) 433-5563 |
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