Kaitlyn Nicholson, LMSW, CASAC-T is a
Social Worker based in Kings Park, New York. Kaitlyn Nicholson is licensed to practice in New York (license number 107673) and her current practice location is
71 Maple Rd, Kings Park, New York. She can be reached at her office (for appointments etc.) via phone at
(347) 723-8761.
NPI number for Kaitlyn Nicholson is 1396331229 and her current mailing address is 71 Maple Rd, Kings Park, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396331229.
Healthcare Provider's Profile
Full Name | Kaitlyn Nicholson |
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Gender | Female |
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Speciality | Social Worker |
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Location | 71 Maple Rd, Kings Park, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396331229
- Provider Enumeration Date: 12/15/2020
- Last Update Date: 12/15/2020
Medical Identifiers
Medical identifiers for Kaitlyn Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396331229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 35145 (New York) | Secondary |
104100000X | Social Worker | 107673 (New York) | 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. Kaitlyn 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 |
Kaitlyn Nicholson, LMSW, CASAC-T 71 Maple Rd, Kings Park, NY 11754-3127 Ph: (347) 723-8761 | Kaitlyn Nicholson, LMSW, CASAC-T 71 Maple Rd, Kings Park, NY 11754-3127 Ph: (347) 723-8761 |
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