| Nicole Bolognini Lcsw | |
|
54 Main St Ste 202 Succasunna NJ 07876-1400 | |
| (973) 527-4539 | |
| Not Available |
| Full Name | Nicole Bolognini Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 54 Main St Ste 202, Succasunna, New Jersey |
| Authorized Official Name and Position | Nicole Bolognini (OWNER) |
| Authorized Official Contact | 9735274539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Bolognini Lcsw 1850 Us Highway 46 Ste 201 Ledgewood NJ 07852-2400 Ph: () - | Nicole Bolognini Lcsw 54 Main St Ste 202 Succasunna NJ 07876-1400 Ph: (973) 527-4539 |
| NPI Number | 1447615174 |
|---|---|
| Provider Enumeration Date | 12/23/2015 |
| Last Update Date | 05/24/2023 |
| Certification Date | 05/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447615174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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