Nicole Mary Podgorski, LSW, LICDC is a
Social Worker based in Independence, Ohio. Nicole Mary Podgorski is licensed to practice in Ohio (license number 1600701) and her current practice location is
4807 Rockside Rd Ste 610, Independence, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 906-1117.
NPI number for Nicole Mary Podgorski is 1891213294 and her current mailing address is 2115 W Park Dr, Lorain, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891213294.
Healthcare Provider's Profile
Full Name | Nicole Mary Podgorski |
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Gender | Female |
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Speciality | Social Worker |
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Location | 4807 Rockside Rd Ste 610, Independence, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891213294
- Provider Enumeration Date: 09/06/2017
- Last Update Date: 09/26/2023
Medical Identifiers
Medical identifiers for Nicole Mary Podgorski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891213294 | NPI | - | NPPES |
0262708 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162430 (* (Not Available)) | Secondary |
104100000X | Social Worker | 1600701 (Ohio) | 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. Nicole Mary Podgorski 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 |
Nicole Mary Podgorski, LSW, LICDC 2115 W Park Dr, Lorain, OH 44053-1138 Ph: (440) 989-4900 | Nicole Mary Podgorski, LSW, LICDC 4807 Rockside Rd Ste 610, Independence, OH 44131-2166 Ph: (216) 906-1117 |
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