Ms Carolyn J Nicholson, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Southfield, Michigan. Her current practice location is
20955 Virginia St, Suite B, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 219-5493.
Ms Carolyn J Nicholson is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447410071.
Healthcare Provider's Profile
| Full Name | Ms Carolyn J Nicholson |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 20955 Virginia St, Southfield, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447410071
- Provider Enumeration Date: 06/17/2008
- Last Update Date: 06/17/2008
Medicare PECOS Information:
- PECOS PAC ID: 6204195027
- Enrollment ID: I20180123003258
Medical Identifiers
Medical identifiers for Ms Carolyn J Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447410071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | N242108275628 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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. Ms Carolyn J Nicholson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Carolyn J Nicholson, LMSW
20955 Virginia St, Suite B,
Southfield, MI 48076-2381
Ph: (248) 219-5493 | Ms Carolyn J Nicholson, LMSW
20955 Virginia St, Suite B,
Southfield, MI 48076-2381
Ph: (248) 219-5493 |
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